VINTAGE THERAPEUTICS LLC

WALLER, TX
NPI1366175739
Entity TypeOrganization
Authorized ContactTAOFEEKAT AJIBADE
CEO
832-633-4909
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2022-07-05
Last Update Date2022-07-05
Business Address
VINTAGE THERAPEUTICS LLC
34716 ELLIOT LANE SUITE 102
WALLER, TX 77484
Phone number: 832-633-4909
Mailing Address
VINTAGE THERAPEUTICS LLC
34716 ELLIOT LANE SUITE 102
WALLER, TX 77484
Phone number:
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