Individual
RAPHAEL GIKONYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHMNP-BC
Contact information
Practice address
1205 YORK RD STE 14, TIMONIUM, MD 21093-6211
(410) 757-2077
Mailing address
1205 YORK RD STE 14, TIMONIUM, MD 21093-6211
(410) 757-2077
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R216660
MD
Other
Enumeration date
05/08/2020
Last updated
04/07/2025
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