FAUSAT ADEOLA OLADIPO

COLTON, CA
NPI1467989525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  NP95012916)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  756235)
Enumeration Date2017-05-18
Last Update Date2022-07-21
Business Address
FAUSAT ADEOLA OLADIPO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
Mailing Address
FAUSAT ADEOLA OLADIPO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145