Individual
ADENIYI ADEDIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 DAHLBERG BLVD APT 7, TAYLOR, TX 76574-1714
(512) 822-1073
Mailing address
200 DAHLBERG BLVD APT 7, TAYLOR, TX 76574-1714
(512) 822-1073
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
374U00000X
TX
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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