Individual
GRACE OLAWUMI OJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2425 BABCOCK RD STE 111, SAN ANTONIO, TX 78229-4899
(210) 358-8900
Mailing address
10406 TURNPIKE TURN, SAN ANTONIO, TX 78254-4516
(818) 934-3334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
875056
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1100598
TX
Other
Enumeration date
08/17/2020
Last updated
05/20/2024
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