Individual
COMFORT AJAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
3013 HARRELL DR APT 202, GRAND PRAIRIE, TX 75052-7737
(817) 899-0540
Mailing address
3013 HARRELL DR, # 202, GRAND PRAIRIE, TX 75052
(817) 899-0540
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09196
CO
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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