Individual
SHAJNA CHARLI'Z OGBOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 481-1588
Mailing address
3006 GUADALUPE DR, FORNEY, TX 75126-6961
(214) 863-9734
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1037438
TX
163WN0800X
Neuroscience Registered Nurse
1037438
TX
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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