Adebisi Bolanle Adebayo
Licensed Vocational Nurse in San Antonio, TX. Individual provider (NPI-1).
NPI number1295214856
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1295214856
- Entity type
- Individual (NPI-1)
- Name
- Adebisi Bolanle Adebayo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2018
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 227729 | TX | Yes |
Practice location
10439 Cedar VlgSan Antonio, TX 78245-3114
Phone 210-725-4428
Mailing address
9018 High BrSan Antonio, TX 78254-4411
Phone 210-571-3344
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