Individual
OREDUNNI OGUNTODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 GARDEN GROVE LN, RED OAK, TX 75154-0163
(817) 323-0900
Mailing address
4301 WATERFORD GLEN DR, MANSFIELD, TX 76063-9104
(214) 903-4783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1114727
TX
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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