AYODELE ADEGUNWA LPN
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1912529025- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPN
- Status
- Active
Contact & Location
- Address
- 250 BRAY STREET, ATHENS, GA, 306012244
- Phone
- (706) 389-6767
Specialties & Taxonomies
Licensed Practical Nurse
License: NJ #26NP05001700
Licensed Practical Nurse
Primary License: GA #LPN071336
All Addresses
MAILING
2526 BRIAR VALLEY WAY
DACULA, GA, 300197515