Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 35.123232 | OH |
NPI | 1336152396 |
---|---|
Provider Name | Dr. Celedor Hutto Akintunde |
First Address | Walnut Creek, CA 94597-3945 |
Second Address | Beavercreek, OH 45440-1479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 11/02/2022 |