Individual
IYABODE BUKOLA IKEJIORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10306 BERNARDIN CIR, DALLAS, TX 75243-2601
(214) 900-4663
Mailing address
10306 BERNARDIN CIR, DALLAS, TX 75243-2601
(214) 900-4663
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311242
TX
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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