Individual
MRS. ADESOLA OMOWANILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10223 BROADWAY ST, PEARLAND, TX 77584-7880
(646) 541-1016
Mailing address
29030 DUNBROOK MEADOWS LN, KATY, TX 77494-3820
(646) 541-1016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
948801
TX
163WL0100X
Lactation Consultant (Registered Nurse)
224137
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1154274
TX
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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