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OLUWATOSIN ADESOLA AJAYI SA-C ,IMG
Certified First Assistant >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1366003477
Individual Registrant: OLUWATOSIN ADESOLA AJAYI SA-C ,IMG
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
28 PALMYRA LN PALM COAST, FL 32164-7516 US
Tel: 386-214-4823 Fax: --
Tel: 386-214-4823 Fax: --
Contact information for business:
28 PALMYRA LN PALM COAST, FL 32164-7516 US
Tel: 386-214-4823 Fax: --
Tel: 386-214-4823 Fax: --
Registration Information:
NPI: 1366003477
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Certified First Assistant | FL | 19-289 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
