Individual
NORA O ADEYINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12840 S KIRKWOOD RD APT 535, STAFFORD, TX 77477-3833
(832) 245-3651
(800) 513-3753
Mailing address
12840 S KIRKWOOD RD APT 535, STAFFORD, TX 77477-3833
(832) 245-3651
(800) 513-3753
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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