Individual
MRS. OLUFUNMILAYO PRISCILLA OMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
15551 SOUTHWEST FWY, SUGAR LAND, TX 77478-3830
(281) 325-1010
(281) 325-1060
Mailing address
17903 HOLLOW HILL LN, RICHMOND, TX 77407-2577
(281) 989-3039
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
720034
TX
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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