Individual
OMOTANBAJE VICTORIA KOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(443) 985-2625
Mailing address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(443) 985-2625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R223065
MD
Other
Enumeration date
07/18/2024
Last updated
09/14/2024
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