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BISOLA JOHNSON ADU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3333 SOUTHFORK PKWY APT 921, MANVEL, TX 77578-3773
(201) 932-6068
Mailing address
3333 SOUTHFORK PKWY APT 921, MANVEL, TX 77578-3773
(201) 932-6068

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
NRN0040
TX

Other

Enumeration date
04/29/2024
Last updated
12/20/2024
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