Individual
IBITOMI SODIPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044
(443) 518-0425
Mailing address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
(443) 462-3069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R208611
MD
163WP2201X
Ambulatory Care Registered Nurse
Primary
R208611
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114342359
—
MD
01
—
521362793
UNIVERSITY OF MARYLAND MEDICAL CENTER
MD
Enumeration date
02/25/2014
Last updated
06/12/2018
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