Individual
FLORA ABIODUN IMOUDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9637 FOREST LN APT 926, DALLAS, TX 75243-0923
(469) 233-9889
Mailing address
9637 FOREST LN APT 926, DALLAS, TX 75243-0923
(469) 233-9889
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332889
TX
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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