Individual
ADESUWA AIBANGBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19400 W BELLFORT ST APT 3316, RICHMOND, TX 77407-8211
(203) 818-3020
Mailing address
19400 W BELLFORT ST APT 3316, RICHMOND, TX 77407-8211
(203) 818-3020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1012194
TX
Other
Enumeration date
06/02/2011
Last updated
06/10/2021
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