| NPI | 1124640974 |
|---|---|
| Other Name | LIBERTY FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | BOLAJI O OLUGBOJA Dr. 410-301-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2021-12-21 |