Adetutu Adebule Balogun
Registered Nurse in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1992315568
StatusActive
Last updated in NPPESAug 7, 2020
Details
- NPI
- 1992315568
- Entity type
- Individual (NPI-1)
- Name
- Adetutu Adebule Balogun
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2020
- Certification date
- Aug 7, 2020
- Last updated
- Aug 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1003712 | TX | Yes |
Practice location
909 8th St Ste 100Wichita Falls, TX 76301-6818
Phone 940-761-9986
Mailing address
909 8th St Ste 100Wichita Falls, TX 76301-6818
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