Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | NJ |
NPI | 1023686748 |
---|---|
Provider Name | Atinuke Asaolu |
First Address | Rockaway, NJ 07866-1822 |
Second Address | Maplewood, NJ 07040-3447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2021 |
Last Update Date | 17/06/2021 |