-- OLUWATOSIN B AJIBOLA --
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1063230464- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4927 LAKE RIDGE PKWY STE 148, GRAND PRAIRIE, TX, 750523000
- Phone
- (972) 217-4203
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: TX #1177043