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Mishael Ajide

Non-emergency Medical Transport (VAN) in Forney, TX. Individual provider (NPI-1).

NPI number1265021414
StatusActive
Last updated in NPPESJan 12, 2021

Details

NPI
1265021414
Entity type
Individual (NPI-1)
Name
Mishael Ajide
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 12, 2021
Certification date
Jan 12, 2021
Last updated
Jan 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

3968 Chesapeake Ln
Forney, TX 75126-2654

Phone 713-319-6193

Mailing address

Po Box 3032
Forney, TX 75126-3032

Phone 713-319-6193

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