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NPI Code Detail

MEDICARE: DR. ABIOLA OLUFUNLAYO OLADOKE PHD, MSHNFM, CLT

MEDICARE:  DR. ABIOLA OLUFUNLAYO OLADOKE  PHD, MSHNFM, CLT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness CoachOR
2172M00000XMechanotherapistCA
3174H00000XHealth EducatorCA
4225700000XMassage TherapistCA
5133N00000XNutritionistCA

General Provider Information

NPI Number : 1538979166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABIOLA OLUFUNLAYO OLADOKE PHD, MSHNFM, CLT
Provider Business Mailing Address
First Line : 110 MARY AVENUE
Second Line : SUITE 2298
City : NIPOMO
State : CA
Zip : 93444
Country : US
Telephone Number : 805-867-7298
Fax Number :
Provider Business Practice Location Address
First Line : 1447 W GRAND AVE
Second Line :
City : GROVER BEACH
State : CA
Zip : 93433-2250
Country : US
Telephone Number : 805-867-7298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 08/11/2025

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Directions to “ DR. ABIOLA OLUFUNLAYO OLADOKE PHD, MSHNFM, CLT” Practice Location

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