Individual
MR. JAMES TAIWO OLUWAYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 WILLIAMETTE LN, KILLEEN, TX 76549-5692
(240) 838-6965
Mailing address
4900 WILLIAMETTE LN, KILLEEN, TX 76549-5692
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308234
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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