Individual
EDITH OSAMUEDE OKUNDAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 DOVER HEIGHTS TRL, MANSFIELD, TX 76063-2895
(817) 404-6881
Mailing address
803 DOVER HEIGHTS TRL, MANSFIELD, TX 76063-2895
(817) 404-6881
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
180996
TX
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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