Individual
WALEOLA ADEBOWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18438 AUSTIN OAK LN, RICHMOND, TX 77407-2276
(240) 486-3494
Mailing address
17639 TRINITY MEADOW LN, RICHMOND, TX 77407-1987
(240) 486-3494
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
08231968
TX
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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