Individual provider · NPI-1

Deborah Adeyemo

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number1942783907
StatusActive
Last updated in NPPESSep 14, 2018

Details

NPI
1942783907
Entity type
Individual (NPI-1)
Name
Deborah Adeyemo
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2018
Last updated
Sep 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2310 Haverhill Dr Apt 812
Tyler, TX 75707-4511

Phone 817-841-0896

Mailing address

2310 Haverhill Dr Apt 812
Tyler, TX 75707-4511

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