Tolulope Olufunmilola Fasola Valid NPI
Individual provider · Case Management Registered Nurse · Jamaica, NY
- NPI
- 1235638917
- Type
- Individual (Type 1)
- Primary specialty
- Case Management Registered Nurse (Registered Nurse)
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163WC0400X
- License number
- 741615 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-07
- Last updated
- 2018-02-07
Practice location
9114 Merrick Blvd
Jamaica, NY 11432-5247
(718) 408-7178