Individual
AJIBOLA FAT-ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2808 QUAIL AVE, MCALLEN, TX 78504-4276
(956) 802-4662
(956) 802-4662
Mailing address
2808 QUAIL AVE, MCALLEN, TX 78504-4276
(956) 802-4662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134373
TX
Other
Enumeration date
07/06/2017
Last updated
12/09/2024
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