OLUBOWALE FASOLA

MOUNT VERNON, NY
NPI1851648596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  299582)
Enumeration Date2012-08-13
Last Update Date2015-07-02
Business Address
-- OLUBOWALE FASOLA LPN
9 W PROSPECT AVE STE 310
MOUNT VERNON, NY 10550-2049
Phone number: 914-699-0022
Mailing Address
-- OLUBOWALE FASOLA LPN
9 W PROSPECT AVE STE 310
MOUNT VERNON, NY 10550-2049
Phone number: 914-699-0022