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Contact Information

MARY ADETULA
2940 INLAND EMPIRE BLVD
ONTARIO, CA91764-4898
 Phone: 909-458-1350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for MARY ADETULA · (Female)

NPI # 1437658929
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2018
Last updated 12/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 732410
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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