Individual
LATIFAT ADELEKAN-ADEOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 E BROAD ST STE 600, MANSFIELD, TX 76063-1743
(319) 600-6693
Mailing address
404 E BROAD ST STE 600, MANSFIELD, TX 76063-1743
(319) 600-6693
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132188
TX
Other
Enumeration date
10/07/2016
Last updated
06/01/2022
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