Individual provider · NPI-1
Olubukola Dada
Contractor · Frisco, TX
NPI number1124597893
StatusActive
Last updated in NPPESNov 24, 2018
Details
- NPI
- 1124597893
- Entity type
- Individual (NPI-1)
- Name
- Olubukola Dada
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2018
- Last updated
- Nov 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
5775 Parkwood Blvd Apt 1120Frisco, TX 75034-7314
Phone 214-218-6315
Mailing address
5775 Parkwood Blvd Apt 1120Frisco, TX 75034-7314
Phone 214-218-6315
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