OLAMIDE IFATUSIN

STATEN ISLAND, NY
NPI1710270244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  299566)
Enumeration Date2011-05-17
Last Update Date2011-05-17
Business Address
-- OLAMIDE IFATUSIN
26 DUMONT AVE
STATEN ISLAND, NY 10305
Phone number: 718-667-8510
Mailing Address
-- OLAMIDE IFATUSIN
26 DUMONT AVE
STATEN ISLAND, NY 10305
Phone number: 718-667-8510
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