Individual
DR. FOLASHADE R KANIMODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER, BALTIMORE, MD 21251-4999
(443) 885-3236
(443) 885-8232
Mailing address
1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER, BALTIMORE, MD 21251-4999
(443) 885-3236
(443) 885-8232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R104161
MD
Other
Enumeration date
04/19/2007
Last updated
09/11/2020
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