Doctor Name: | MISS OLUWAJENROLA ADEOLA IBIYEMI-ALUKO |
NPI Number: | 1285954495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 22818 W Ashleigh Marie Dr Buckeye, AZ - 853264080 |
Business Phone Number: | 6234517834 |
Business Fax Number: | |
Mailing Address: | 22818 W Ashleigh Marie Dr, BUCKEYE |
State: | AZ |
Postal Code: | 853264080 |
Phone Number: | 6235362672 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2010 |
NPI Last Update Date: | 06/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |