Individual
FURO UBA FABUNMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1219 ORANGE PUMPKIN LN, RICHMOND, TX 77406-1771
(832) 388-0065
Mailing address
1219 ORANGE PUMPKIN LN, RICHMOND, TX 77406-1771
(832) 388-0065
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AP144328
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144328
TX
Other
Enumeration date
01/25/2020
Last updated
10/16/2024
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