Individual
ADEWALE RICHARD ADEGBOYEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13323 VIA TORRE DE PISA LN, CYPRESS, TX 77429-4768
(936) 714-4298
Mailing address
2801 ROLIDO DR APT 60, HOUSTON, TX 77063-4325
(832) 451-7945
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
321756
TX
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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