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Dr. Bolaji Gabriel Babatunde, DHA, CPHQ

Registered Nurse in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1164095329
StatusActive
Last updated in NPPESJul 23, 2021

Details

NPI
1164095329
Entity type
Individual (NPI-1)
Name
Dr. Bolaji Gabriel Babatunde
Credential
DHA, CPHQ
Sex
Male
Sole proprietor
No
Enumeration date
Jul 23, 2021
Certification date
Jun 25, 2021
Last updated
Jul 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse649828CAYes
163WA2000X Registered Nurse, AdministratorRN648928CA
163WH1000X Registered Nurse, HospiceRN648928CA

Practice location

9612 E. Foothilll Blvd Unit 110
Rancho Cucamonga, CA 91730-3547

Phone 909-231-0098

Mailing address

9612 E. Foothilll Blvd Unit 110
Rancho Cucamonga, CA 91730-3547

Phone 909-231-0098

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