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RAUF BOLADALE EMIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
11122 MINERAL ISLAND LN, RICHMOND, TX 77406-1681
(832) 876-3626
Mailing address
11122 MINERAL ISLAND LN, RICHMOND, TX 77406-1681
(832) 876-3626

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
751577
TX
363LF0000X
Family Nurse Practitioner
AP123408
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP123408
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61552322
WA

Other

Enumeration date
06/17/2013
Last updated
10/02/2024
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