Individual
ADEMEWO AGBEBIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 BRAVOS MANOR LN, FRESNO, TX 77545-1467
(713) 820-1678
Mailing address
1819 BRAVOS MANOR LN, FRESNO, TX 77545-1467
(713) 820-1678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07190024
TX
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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