Individual
OMOLOLA ADETUNJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 CARTERS LAKE DR, RICHMOND, TX 77406-6970
(832) 878-1823
Mailing address
3826 CARTERS LAKE DR, RICHMOND, TX 77406-6970
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP135359
TX
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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