FOLASHADE OBASA

MCHENRY, IL
NPI1871003251
Former NameOGENERUKEWE OBASA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TH0100X Psychologist, Health Service
Additional Taxonomies103TH0100X Psychologist, Health Service
Enumeration Date2017-10-11
Last Update Date2017-10-11
Business Address
FOLASHADE OBASA
4031 W DAYTON ST
MCHENRY, IL 60050-8377
Phone number: 815-759-7126
Mailing Address
FOLASHADE OBASA
4031 W DAYTON ST
MCHENRY, IL 60050-8377
Phone number: 815-344-1230