Individual
JANET FUNMILOLA ADESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 BARDIN RD APT 13212, GRAND PRAIRIE, TX 75052-7324
Mailing address
2770 BARDIN RD APT 13212, GRAND PRAIRIE, TX 75052-7324
(214) 293-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
866756
TX
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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