Individual
ABIMBOLA CHARLES ADEBAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300-1116, COLUMBIA, MD 21045-3259
(667) 417-9408
Mailing address
5457 TWIN KNOLLS RD STE 300-1116, COLUMBIA, MD 21045-3259
(667) 417-9408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R240424
MD
Other
Enumeration date
07/28/2023
Last updated
01/20/2025
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