Individual
BINTA IDODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 W HENDERSON ST, CLEBURNE, TX 76033-4848
(817) 645-2419
Mailing address
17 CALLOWAY CT, MANSFIELD, TX 76063-3466
(214) 316-2574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42978
TX
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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