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Individual

VIVIAN TEMILOLA SOYINGBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
821 LAKE SIERRA WAY, LITTLE ELM, TX 75068-1237
(832) 232-8541
Mailing address
821 LAKE SIERRA WAY, LITTLE ELM, TX 75068-1237
(832) 232-8541

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
937999
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38399819
DRIVER LICENSE
TX
Enumeration date
08/11/2020
Last updated
08/11/2020
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