Individual
AISHAT BOLATITO ADEGBENRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 MARQUART ST, HOUSTON, TX 77027-6000
(713) 799-2200
Mailing address
18934 OAKLAND MANOR LN, RICHMOND, TX 77407-2216
(832) 814-4536
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206064
TX
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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