PETER OLUSOLA IGE

BALTIMORE, MD
NPI1164060943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R142898)
Enumeration Date2019-12-12
Last Update Date2019-12-12
Business Address
PETER OLUSOLA IGE
5411 OLD FREDERICK RD
BALTIMORE, MD 21229-2195
Phone number: 410-762-8945
Mailing Address
PETER OLUSOLA IGE
12 ROZINA CT
OWINGS MILLS, MD 21117-1318
Phone number: 410-446-1294