Individual
BUKOLA MUILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12913 VICAR WOODS LN, BOWIE, MD 20720-4784
(240) 513-9235
Mailing address
12913 VICAR WOODS LN, BOWIE, MD 20720-4784
(240) 513-9235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500019400
DC
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
09/16/2022
Last updated
07/01/2024
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