Individual
MODUPEOLUWA MARIAM ODU-ONIKOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 ROYAL PKWY STE C, EULESS, TX 76040-6725
(214) 378-5577
(214) 983-1110
Mailing address
1401 ROYAL PKWY STE C, EULESS, TX 76040-6725
(214) 378-5577
(214) 983-1110
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
880756
TX
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1026808
TX
Other
Enumeration date
12/27/2020
Last updated
03/26/2025
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