Provider Demographics
NPI:1801645585
Name:OJOSEITAN, MOBOLANLE DORCAS
Entity type:Individual
Prefix:MRS
First Name:MOBOLANLE
Middle Name:DORCAS
Last Name:OJOSEITAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 PURDUE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1243
Mailing Address - Country:US
Mailing Address - Phone:774-225-2711
Mailing Address - Fax:
Practice Address - Street 1:48 PURDUE DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1243
Practice Address - Country:US
Practice Address - Phone:774-225-2711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2363133163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse