Iyabode Bukola Ikejiora
Licensed Vocational Nurse in Dallas, TX. Individual provider (NPI-1).
NPI number1669975181
StatusActive
Last updated in NPPESMar 11, 2018
Details
- NPI
- 1669975181
- Entity type
- Individual (NPI-1)
- Name
- Iyabode Bukola Ikejiora
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2018
- Last updated
- Mar 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 311242 | TX | Yes |
Practice location
10306 Bernardin CirDallas, TX 75243-2601
Phone 214-900-4663
Mailing address
10306 Bernardin CirDallas, TX 75243-2601
Phone 214-900-4663
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