Individual provider · NPI-1

Bosede O Adetunji

Licensed Practical Nurse · Houston, TX

NPI number1356372148
StatusActive
Last updated in NPPESAug 2, 2018

Details

NPI
1356372148
Entity type
Individual (NPI-1)
Name
Bosede O Adetunji
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 6, 2006
Last updated
Aug 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse112143OHYes

Practice location

15738 Boonridge Rd
Houston, TX 77053

Phone 614-596-4626

Mailing address

15738 Boonridge Rd
Houston, TX 77053-3732

Phone 614-596-4626

Other practice locations

3219 Omega Drive
Columbus, OH 43231-8088

Phone 614-596-4626

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