Doctor Name: | MS. OLUFUNMILAYO ADEJOKUN |
NPI Number: | 1023344553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1338 Veterans Memorial Hwy Sw Mableton, GA - 301263112 |
Business Phone Number: | 8507282624 |
Business Fax Number: | |
Mailing Address: | 26 Anastasia Dr Se, MABLETON |
State: | GA |
Postal Code: | 301261461 |
Phone Number: | 8507282624 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2009 |
NPI Last Update Date: | 10/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2472R0900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | Renal Dialysis |
Taxonomy Definition: |