Individual
OLUMUYIWA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E ARAPAHO RD STE 505, RICHARDSON, TX 75081-2765
(972) 201-7204
Mailing address
18250 MARSH LN APT 1516, DALLAS, TX 75287-5710
(972) 201-7204
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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