Doctor Name: | MRS. ABOSEDE A OSHINUBI |
NPI Number: | 1093950545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | LD002267 |
Business Practice Address: | 4025 Lawrenceville Hwy Nw Suite A Lilburn, GA - 300472819 |
Business Phone Number: | 7709217007 |
Business Fax Number: | |
Mailing Address: | 944 Liberty Ives Dr, AUBURN |
State: | GA |
Postal Code: | 300112274 |
Phone Number: | 6785161220 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | LD002267 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |