MODINAT OLUWATOYIN FAGBENRO

OWINGS MILLS, MD
NPI1063061034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R210603)
Enumeration Date2019-09-11
Last Update Date2020-10-23
Business Address
MODINAT OLUWATOYIN FAGBENRO PMHNP-BC
4105 DAYLILY DR
OWINGS MILLS, MD 21117-5034
Phone number: 410-800-4471
Mailing Address
MODINAT OLUWATOYIN FAGBENRO PMHNP-BC
4105 DAYLILY DR
OWINGS MILLS, MD 21117-5034
Phone number: 410-800-4471