Individual
BOLADALE IGBEKOYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 ELLIOTT AVE, MANSFIELD, TX 76063-3700
(682) 248-9245
Mailing address
2610 ELLIOTT AVE, MANSFIELD, TX 76063-3700
(682) 248-9245
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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