Taiwo Odukoya Odutola, OWNER
Taiwo Odukoya Odutola, OWNER is a Psychiatric/Mental Health Nurse Practitioner in Carson, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
21880 Orrick AveCarson, CA 90745-3052
Phone: (310) 927-2119
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95022131 (CA) |
|---|
Record details
| NPI number | 1467178947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2022 |
| Last updated in NPPES | December 19, 2023 |
| Certification date | December 19, 2023 |
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