Individual
ATINUKE TAIBAT ADUMATIOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1067 VALLEY BROOK LN, GRAND PRAIRIE, TX 75052-8842
(214) 518-2332
Mailing address
1067 VALLEY BROOK LN, GRAND PRAIRIE, TX 75052-8842
(214) 518-2332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
816189
TX
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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