Individual
BRIDGET FABUSUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3403 MANGUM RD, HOUSTON, TX 77092-7415
(713) 683-8125
Mailing address
18234 BONHAM OAKS CT, RICHMOND, TX 77407-2298
(832) 372-0225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45574
TX
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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