Individual
ELIZABETH OLUFUNMILAYO OGUNSEYITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E EL PASO ST, FORT WORTH, TX 76102-6700
(817) 569-4600
Mailing address
819 HONTLEY DR, ARLINGTON, TX 76001-6151
(214) 597-9706
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346055
TX
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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