Individual
MS. JACQUELINE MARIE OLUMOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BC
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 794-7848
Mailing address
15118 FOUR WINDS DR, MISSOURI CITY, TX 77489-2509
(713) 794-7848
(713) 794-7929
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
229169
TX
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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