Oluwaseun Timothy Odumosu
Student in an Organized Health Care Education/Training Program in Farmers Branch, TX. Individual provider (NPI-1).
NPI number1669197091
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1669197091
- Entity type
- Individual (NPI-1)
- Name
- Mr. Oluwaseun Timothy Odumosu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1900 Knightsbridge Rd Apt 3317Farmers Branch, TX 75234-1368
Phone 202-368-7800
Mailing address
1900 Knightsbridge Rd Apt 3317Farmers Branch, TX 75234-1368
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