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Oluwafunke Wilson

Licensed Practical Nurse in Jamaica, NY. Individual provider (NPI-1).

NPI number1366093395
StatusActive
Last updated in NPPESSep 20, 2019

Details

NPI
1366093395
Entity type
Individual (NPI-1)
Name
Oluwafunke Wilson
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2019
Last updated
Sep 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse336022NYYes

Practice location

12029 142nd Pl
Jamaica, NY 11436-1410

Phone 347-320-6859

Mailing address

12029 142nd Pl
Jamaica, NY 11436-1410

Phone 347-320-6859

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