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Dr. Otito Odiakosa, MD
Student in an Organized Health Care Education/Training Program in Tulare, California
NPI 1811647555

Otito Odiakosa is a Student in an Organized Health Care Education/Training Program based in Tulare, CA. Otito Odiakosa practices in Tulare, CA and has the professional credentials of MD. The NPI Number for Otito Odiakosa is 1811647555 and holds a License No. (California).

The current practice location address for Otito Odiakosa is 2059 Hillman St, Tulare, CA and can be reached out via phone at 559-605-0148.

Location: 2059 Hillman St, Tulare, CA, 93274-1609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811647555
Provider Name
Otito Odiakosa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2059 Hillman St, Tulare, CA, 93274-1609
Phone Number
559-605-0148
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y5612353 01 CA DRIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
2059 Hillman St
City
Tulare
State
California
Zip
93274-1609
Phone Number
559-605-0148
Fax Number
person
Provider Business Mailing Address Details
Address
2059 Hillman St
City
Tulare
State
California
Zip
93274-1609
Phone Number
559-605-0148
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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