Omolola Adetunji
Nurse Practitioner, Gerontology in Richmond, TX. Individual provider (NPI-1).
NPI number1619485893
StatusActive
Last updated in NPPESJan 22, 2018
Details
- NPI
- 1619485893
- Entity type
- Individual (NPI-1)
- Name
- Omolola Adetunji
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2018
- Last updated
- Jan 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | AP135359 | TX | Yes |
Practice location
3826 Carters Lake DrRichmond, TX 77406-6970
Phone 832-878-1823
Mailing address
3826 Carters Lake DrRichmond, TX 77406-6970
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