Lilian F Ademola

Individual provider Active NPI Licensed Vocational Nurse · Martinez, CA

NPI 1366948200 · NPPES record last updated Mar 31, 2018

Key facts

NPI
1366948200
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN246553 (CA)
Practice address
300 Ilene St
Martinez, CA 94553-2631
Phone
(925) 313-7985
Fax
(925) 646-2060
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN246553CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN246553 CA Yes

Addresses

Primary practice location

300 Ilene St
Martinez, CA 94553-2631

Mailing address

4880 Snowy Egret Way
Oakley, CA 94561-1686
Phone (925) 313-7980

Other providers in Martinez, CA

All providers in Martinez, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.