Individual
JOLAADE FAUSAT ENIAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 271-4833
Mailing address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 271-4833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1204388
TX
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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