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Individual

MRS. HELEN TINUKE KUMOLALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5205 EAST DR STE H, ARBUTUS, MD 21227-2403
(443) 631-4318
Mailing address
2401 WEST BELVEDERE AVE, CARDIAC DIAGNOSTIC CENTER, BALTIMORE, MD 21215
(410) 601-8450

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R143503
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R143503
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032332200
MD
Enumeration date
03/06/2009
Last updated
07/02/2019
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