BASIRAT OLADUNNI SHOMUYIWA

LAWRENCEVILLE, GA
NPI1730907338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN136389)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
BASIRAT OLADUNNI SHOMUYIWA
1115 HERRINGTON RD
LAWRENCEVILLE, GA 30044-7503
Phone number: 678-895-8405
Mailing Address
BASIRAT OLADUNNI SHOMUYIWA
1115 HERRINGTON RD
LAWRENCEVILLE, GA 30044-7503
Phone number: 678-895-8405