Individual
TITILOPE GRACE IBIWOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3547 GRAND AVE S, MINNEAPOLIS, MN 55408-4375
(410) 805-5030
Mailing address
3547 GRAND AVE S APT 102, MINNEAPOLIS, MN 55408-4371
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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