| Mrs Mojisola Omoaldun I, LPN | |
|
141 South Ave, Staten Island, NY 10303-1666 | |
| (646) 258-8069 | |
| Not Available |
| Full Name | Mrs Mojisola Omoaldun I |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 141 South Ave, Staten Island, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609148352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 308-567-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mojisola Omoaldun I, LPN 141 South Ave, Staten Island, NY 10303-1666 Ph: (646) 258-8069 | Mrs Mojisola Omoaldun I, LPN 141 South Ave, Staten Island, NY 10303-1666 Ph: (646) 258-8069 |
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