OMOTOLU OLAITAN AJE-OMOKORE

WICHITA, KS
NPI1548699739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60590699)
Additional Taxonomies364SF0001X Clinical Nurse Specialist, Family Health
(Licence: KS  53-76179-091)
Enumeration Date2013-11-07
Last Update Date2022-06-16
Business Address
Miss OMOTOLU OLAITAN AJE-OMOKORE CNP
753 N WEST ST, WICHITA, KS 67203
WICHITA, KS 67226
Phone number: 316-685-5691
Mailing Address
Miss OMOTOLU OLAITAN AJE-OMOKORE CNP
2801 N ROCK RD APT 1508
WICHITA, KS 67226-1185
Phone number: 316-990-4126