Iyabode Ajibola
Registered Nurse, Home Health in Austin, TX. Individual provider (NPI-1).
NPI number1861027872
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1861027872
- Entity type
- Individual (NPI-1)
- Name
- Iyabode Ajibola
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 919453 | TX | Yes |
Practice location
3508 Far West BlvdAustin, TX 78731-3080
Phone 512-828-3990
Mailing address
3508 Far West Blvd Ste 130Austin, TX 78731-3081
Phone 512-828-3990
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