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Omowunmi Balogun
Family Nurse Practitioner in Glendale, California
NPI 1811369424

Omowunmi Balogun is a Family Nurse Practitioner based in Glendale, CA and is specialized in Family. Omowunmi Balogun practices in Glendale, CA. The NPI Number for Omowunmi Balogun is 1811369424 and holds a License No. 95003203 (California).

The current practice location address for Omowunmi Balogun is 1717 N Verdugo Rd, Glendale, CA and can be reached out via phone at 310-279-2818.

Location: 1717 N Verdugo Rd, Glendale, CA, 91208-2934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811369424
Provider Name
Omowunmi Balogun
Credential
Provider Entity Type
Individual
Gender
Female
Address
1717 N Verdugo Rd, Glendale, CA, 91208-2934
Phone Number
310-279-2818
Fax Number
Provider Enumeration Date
10/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 N Verdugo Rd
City
Glendale
State
California
Zip
91208-2934
Phone Number
310-279-2818
Fax Number
person
Provider Business Mailing Address Details
Address
1717 N Verdugo Rd
City
Glendale
State
California
Zip
91208-2934
Phone Number
310-279-2818
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95003203 (California)
Definition
Definition to come...
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