Individual
MOTUNRAYO ADIJAT SANUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 MEADOWGATE CT, WINDSOR MILL, MD 21244-1203
(410) 588-9143
Mailing address
1912 MEADOWGATE CT, WINDSOR MILL, MD 21244-1203
(410) 588-9143
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R190157
MD
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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