Individual
BOLAJOKO O KWENTUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10103 LILAC CROFT LN, RICHMOND, TX 77406-1776
(832) 724-1455
Mailing address
10103 LILAC CROFT LN, RICHMOND, TX 77406-1776
(832) 724-1455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
118275
TX
Other
Enumeration date
12/19/2024
Last updated
01/16/2025
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