Olajumoke Fasan
Licensed Practical Nurse in Jamaica, NY. Individual provider (NPI-1).
NPI number1154771822
StatusActive
Last updated in NPPESJun 14, 2016
Details
- NPI
- 1154771822
- Entity type
- Individual (NPI-1)
- Name
- Olajumoke Fasan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2016
- Last updated
- Jun 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 276332 | NY | Yes |
Practice location
12011 144th StJamaica, NY 11436-1508
Phone 718-551-6838
Mailing address
12011 144th StJamaica, NY 11436-1508
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All 489 Licensed Practical Nurse providers in Jamaica · All 6,245 providers in Jamaica
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