Individual
TOLULOPE IGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(443) 340-6332
Mailing address
707 MCKEWIN AVE, BALTIMORE, MD 21218-2545
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220240
MD
Other
Enumeration date
07/15/2021
Last updated
03/28/2023
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