Olabimpe Cynthia Fasuyi
Driver in Indianapolis, IN. Individual provider (NPI-1).
NPI number1063243236
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1063243236
- Entity type
- Individual (NPI-1)
- Name
- Olabimpe Cynthia Fasuyi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 4, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 9370519152 | IN | Yes |
Practice location
3438 W Glenarm DrIndianapolis, IN 46224
Phone 304-319-1366
Mailing address
3438 W Glenarm DrIndianapolis, IN 46224
Phone 304-319-1366
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