Most Relevant Information
Provider Data
| NPI Number: | 1003686734 |
| Provider Name: | OLAITAN ADEPEJU SUBAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 732207 |
Most Important Dates
| Enumeration Date: | 01/04/2024 |
| Last Updated: | 01/04/2024 |
Provider Practice Location
19609 SHERMAN WAY APT 201
RESEDA
CA
913353430
Practice Location Phone/Fax
| Phone: | 7472538024 |
| Fax: |
Provider Mailing Location
19609 SHERMAN WAY APT 201
RESEDA
CA
913353430
Provider Mailing Phone/Fax
| Phone: | 7472538024 |
| Fax: |