NPI 1336611128

Taye Tope Ikotun

Practitioner Driver Pawtucket, RI

Practice location

Address: 15 Norton St, Pawtucket, RI 02860-4343
Phone: (401) 288-8172

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 3195748 (RI)

Other Driver providers in Rhode Island →

Registry record

NPI: 1336611128
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2018
Record last updated: 18 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.