Individual
KAFAYAT OLATEJU POPOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
207 N UNION AVE STE E, ROSWELL, NM 88201-3068
(575) 363-3189
(575) 363-3188
Mailing address
809 VIRGINIA DR, MANSFIELD, TX 76063-5510
(346) 235-7127
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057732
TX
Other
Enumeration date
10/28/2024
Last updated
03/04/2025
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