Provider Demographics
NPI:1225735046
Name:KASALI, SHERIFAT BUKOLA
Entity Type:Individual
Prefix:
First Name:SHERIFAT
Middle Name:BUKOLA
Last Name:KASALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18242 SORRELL OAKS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2497
Mailing Address - Country:US
Mailing Address - Phone:713-530-7076
Mailing Address - Fax:
Practice Address - Street 1:18242 SORRELL OAKS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2497
Practice Address - Country:US
Practice Address - Phone:713-530-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider