Most Relevant Information
Provider Data
| NPI Number: | 1003292988 |
| Provider Name: | ABOSEDE ADETOUN THOMASOGUNDEINDE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 315975 |
Most Important Dates
| Enumeration Date: | 08/03/2015 |
| Last Updated: | 10/10/2018 |
Provider Practice Location
303 MAIN ST
APT 241
HEMPSTEAD
NY
115501427
Practice Location Phone/Fax
| Phone: | 5184099322 |
| Fax: |
Provider Mailing Location
420 N CORONA AVE
VALLEY STREAM
NY
115802602
Provider Mailing Phone/Fax
| Phone: | 5184099322 |
| Fax: |