Mr Adewale S Omoniyi, NURSE | |
11 S Angell St # 383, Providence, RI 02906-5206 | |
(401) 516-1804 | |
(866) 799-5622 |
Full Name | Mr Adewale S Omoniyi |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 11 S Angell St # 383, Providence, Rhode Island |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427406651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | LN91103 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Adewale S Omoniyi, NURSE 11 S Angell St # 383, Providence, RI 02906-5206 Ph: (401) 516-1804 | Mr Adewale S Omoniyi, NURSE 11 S Angell St # 383, Providence, RI 02906-5206 Ph: (401) 516-1804 |
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