Doctor Name: | JOSEPHINE A OYEWOLE |
NPI Number: | 1245353622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 47030 |
Business Practice Address: | 225 S Riverside Ave Suite 4 Rialto, CA - 923766458 |
Business Phone Number: | 9098753398 |
Business Fax Number: | 9098753499 |
Mailing Address: | 225 S Riverside Ave, Suite 4 RIALTO |
State: | CA |
Postal Code: | 923766458 |
Phone Number: | 9098753398 |
Fax Number: | 9098753499 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 47030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |