person
Taiwo Odukoya Odutola, OWNER
Psychiatric/Mental Health Nurse Practitioner in Carson, California
NPI 1467178947

Taiwo Odukoya Odutola is a Psychiatric/Mental Health Nurse Practitioner based in Carson, CA and is specialized in Psychiatric/Mental Health. Taiwo Odukoya Odutola practices in Carson, CA and has the professional credentials of OWNER. The NPI Number for Taiwo Odukoya Odutola is 1467178947 and holds a License No. 95022131 (California).

The current practice location address for Taiwo Odukoya Odutola is 21880 Orrick Ave, Carson, CA and can be reached out via phone at 310-927-2119.

Location: 21880 Orrick Ave, Carson, CA, 90745-3052
person
Provider Profile Details
NPI Number
1467178947
Provider Name
Taiwo Odukoya Odutola
Credential
OWNER
Provider Entity Type
Individual
Gender
Male
Address
21880 Orrick Ave, Carson, CA, 90745-3052
Phone Number
310-927-2119
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21880 Orrick Ave
City
State
Zip
90745-3052
Phone Number
310-927-2119
Fax Number
person
Provider Business Mailing Address Details
Address
21880 Orrick Ave
City
State
Zip
90745-3052
Phone Number
310-927-2119
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95022131 (California)
Definition
Definition to come...
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