Odusami, Tai

Odusami, Tai is an sole proprietor health care provider with primary practice located at 25630 Felicia Ave , Menifee CA 92586-2376. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Recovery Care, Other Service Providers / Lodging. Other Service Providers / Lodging is her primary health care specialty. Odusami, Tai can be contacted via phone (951) 772-6402.

Contact Information

Primary practice address
25630 Felicia Ave Menifee CA 92586-2376
Phone: (951) 772-6402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Recovery Care 261QR0800X
Other Service Providers / Lodging 177F00000X

Profile Details

NPI number 1720835788
LBN Legal business name Odusami, Tai
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2024
Last updated May 6th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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