Individual
TEMITOPE ADEOLA BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNPBC
Contact information
Practice address
13110 4TH ST, BOWIE, MD 20720-3600
(240) 643-6181
Mailing address
13110 4TH ST, BOWIE, MD 20720-3600
(240) 643-6181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R211827
MD
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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