Individual
ADEJUMOKE O ADENIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 BROOKHAVEN DR, LANCASTER, TX 75134-3710
(214) 713-7166
Mailing address
709 BROOKHAVEN DR, LANCASTER, TX 75134-3710
(214) 713-7166
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333490
TX
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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