Individual
ELIZABETH OYEWUNMI ADESHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3106 WILLOW BROOK DR, MANSFIELD, TX 76063-2075
(817) 723-0778
Mailing address
3106 WILLOW BROOK DR, MANSFIELD, TX 76063-2075
(817) 723-0778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1049314
TX
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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