Individual
A RICHARD EKIBOLAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 RYAN ST, SUITE B, BRENHAM, TX 77833-5883
(281) 217-5277
Mailing address
2550 RYAN ST, SUITE B, BRENHAM, TX 77833-5883
(281) 217-5277
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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