Individual
FUNMILOLA OMOLOLA SIJUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
(425) 640-7009
Mailing address
23515 PRATO GARDENS LN, KATY, TX 77493-3242
(917) 499-2254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP133711
TX
Other
Enumeration date
05/19/2017
Last updated
09/25/2024
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