Individual
OLUWAREMILEKUN RACHEL OLUWASEGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 SHIRECREEK CIR, GRAND PRAIRIE, TX 75052-7839
(651) 500-8086
Mailing address
2340 SHIRECREEK CIR, GRAND PRAIRIE, TX 75052-7839
(651) 500-8086
(817) 400-8715
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
383126
TX
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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