Individual
IYABO KIKELOMO OSIDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1200 BAKER ST, HOUSTON, TX 77002-1206
(346) 286-2476
Mailing address
1200 BAKER ST, HOUSTON, TX 77002-1206
(346) 286-2476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1179283
TX
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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