OMOLOLU KAFISANWO

COLUMBIA, MO
NPI1518453208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2015008932)
Enumeration Date2018-07-05
Last Update Date2018-07-05
Business Address
OMOLOLU KAFISANWO CRNA
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone number: 573-815-8000
Mailing Address
OMOLOLU KAFISANWO CRNA
1316 OLD HIGHWAY 63 S STE 102
COLUMBIA, MO 65201-6092
Phone number: 573-875-8838