Individual provider · Type 1 NPI

Raphael Omodunmiju

Home Health Registered Nurse · St. Paul, MN

NPI number 1770035784 Active

Practice location

856 University Ave W
St. Paul, MN 55104-4807

Fax (651) 665-9796

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XR 231639-4 (MN)

Home Health Registered Nurse: Definition to come...

46 other providers at this address

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About NPI 1770035784

Raphael Omodunmiju's National Provider Identifier is 1770035784, issued on Oct 26, 2016. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in St. Paul, MN. The record was last updated on Oct 26, 2016.