Provider Demographics
NPI:1720809718
Name:OSHODI, WOSILAT
Entity type:Individual
Prefix:
First Name:WOSILAT
Middle Name:
Last Name:OSHODI
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 1:2621 ORONO PIKE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4132
Mailing Address - Country:US
Mailing Address - Phone:614-902-0588
Mailing Address - Fax:
Practice Address - Street 1:2621 ORONO PIKE
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4132
Practice Address - Country:US
Practice Address - Phone:614-902-0588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide