Individual
TITILOPE J KOMOLAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 CYPRESS GLEN DR, GRAND PRAIRIE, TX 75052
(817) 606-7547
Mailing address
2828 CYPRESS GLEN DR, GRAND PRAIRIE, TX 75052
(817) 606-7547
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1089282
TX
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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