Organization
REJUVARIS
Active
Other names
Rejuvaris
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABISOLA ALADE DNP,CRNP (NURSE PRACTITIONER)
(410) 929-4790
Entity
Organization
Contact information
Practice address
9635 LIBERTY RD, RANDALLSTOWN, MD 21133-2436
(410) 929-4790
Mailing address
9635 LIBERTY RD, RANDALLSTOWN, MD 21133-2436
(410) 929-4790
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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