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Rakiya O Adediji, CRNP

Registered Nurse, Gerontology in Montgomery, AL. Individual provider (NPI-1).

NPI number1720599772
StatusActive
Last updated in NPPESOct 17, 2017

Details

NPI
1720599772
Entity type
Individual (NPI-1)
Name
Rakiya O Adediji
Credential
CRNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 17, 2017
Last updated
Oct 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology1-107325ALYes

Practice location

215 Winton M Blount Loop
Montgomery, AL 36117-3507

Phone 334-239-9480 · Fax 334-239-7800

Mailing address

215 Winton M Blount Loop
Montgomery, AL 36117-3507

Phone 334-239-9480 · Fax 334-239-7800

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