Individual provider · NPI-1

Oluwole Henry Adenimiran, LVN

Licensed Vocational Nurse · Los Angeles, CA

NPI number1902468564
StatusActive
Last updated in NPPESJul 3, 2019

Details

NPI
1902468564
Entity type
Individual (NPI-1)
Name
Mr. Oluwole Henry Adenimiran
Credential
LVN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 3, 2019
Last updated
Jul 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse243165CAYes

Other names

  • Oluwole Henry Adenimiran (Professional Name)

Practice location

4434 Harding Ave
Los Angeles, CA 90066-6123

Phone 310-853-9116

Mailing address

3902 Midway Ave
Culver City, CA 90232-3746

Phone 310-853-9116

Other practice locations

3902 Midway Ave
Culver City, CA 90232-3746

Phone 310-853-9116

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