MEDICARE: FRANCES OLUFUNMILAYO OLEMOH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	315356	TX

General Provider Information

NPI Number	:	1134693815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES OLUFUNMILAYO OLEMOH

Provider Business Mailing Address
First Line	:	8800 FONDREN RD APT A278
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-7039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8800 FONDREN RD APT A278
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-7039
Country	:	US
Telephone Number	:	347-614-3342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2019
Last Update Date	:	01/16/2019

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