ANIFAT OLOLADE BAMGBOSE
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1881549863- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7707 AUSTIN RD, STOCKTON, CA, 952158312
- Phone
- (909) 763-9192
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: CA #95038683