Individual
BOLATITO ADENUGA KEHINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5221 RIO BRAVO DR, ARLINGTON, TX 76017-1751
(214) 274-2637
Mailing address
5221 RIO BRAVO DR, ARLINGTON, TX 76017-1751
(214) 274-2637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
638437
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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