Individual
MOTUNRAYO DIPEOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
3120 ERDMAN AVE, BALTIMORE, MD 21213-1720
(410) 558-4800
Mailing address
2 GWYNN LAKE DR, GWYNN OAK, MD 21207-6014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R196260
MD
363LF0000X
Family Nurse Practitioner
Primary
R196260
MD
Other
Enumeration date
06/12/2018
Last updated
02/24/2023
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