Individual
ADETOUN FANIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 W NORTHGATE DR, UNIT 217, IRVING, TX 75062-8433
(347) 355-3994
Mailing address
3609 W NORTHGATE DR, UNIT 217, IRVING, TX 75062-8433
(347) 355-3994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0057219
CO
Other
Enumeration date
06/09/2013
Last updated
08/26/2016
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