Atinuke Taibat Adumatioge, RN
Registered Nurse in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1124675111
StatusActive
Last updated in NPPESAug 23, 2019
Details
- NPI
- 1124675111
- Entity type
- Individual (NPI-1)
- Name
- Atinuke Taibat Adumatioge
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2019
- Last updated
- Aug 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 816189 | TX | Yes |
Practice location
1067 Valley Brook LnGrand Prairie, TX 75052-8842
Phone 214-518-2332
Mailing address
1067 Valley Brook LnGrand Prairie, TX 75052-8842
Phone 214-518-2332
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