IDOWU AWOLUSI

BALTIMORE, MD
NPI1669036836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R168616)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MD  F04190184)
Enumeration Date2019-04-23
Last Update Date2023-03-14
Business Address
IDOWU AWOLUSI
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number: 443-977-0313
Mailing Address
IDOWU AWOLUSI
3969 WHISPERING MEADOW DR
RANDALLSTOWN, MD 21133-4342
Phone number: 443-977-0313
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