Individual provider · NPI-1

Olufunmilayo Adejokun

Technician, Other, Renal Dialysis · Mableton, GA

NPI number1023344553
StatusActive
Last updated in NPPESOct 17, 2009

Details

NPI
1023344553
Entity type
Individual (NPI-1)
Name
Ms. Olufunmilayo Adejokun
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 17, 2009
Last updated
Oct 17, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2472R0900X Technician, Other, Renal Dialysis––Yes

Practice location

1338 Veterans Memorial Hwy Sw
Mableton, GA 30126-3112

Phone 850-728-2624

Mailing address

26 Anastasia Dr Se
Mableton, GA 30126-1461

Phone 850-728-2624

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