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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OMOTAYO BODUNWA

Active Sole Proprietor

OMOTAYO BODUNWA is a Home Health Aide healthcare provider located in MAPLE GROVE, Minnesota. NPI 1629519947 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · MAPLE GROVE, MN

Registration Details

NPI Number
1629519947
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2017 (9.4332869161973 yrs)
Last Updated
Mar 20, 2017
License
R-215202-4 (MN)
Sole Proprietor
Yes

Practice Information

Address
8430 YUCCA LN N
MAPLE GROVE, MN, 553694671
Browse MN providers · Browse ZIP 55369
Phone
6124818047
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in MAPLE GROVE, MN

Name Credential NPI
MR. ELMES K MULBAH 1396215091
TANVEER GULZAR 1306316005
ANGELIQUE BIAKASASA KAPILA 1851953343
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.