Individual
GBEMISOLA VICTORIA ADEBAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4801
Mailing address
7222 DONNELL PL APT A6, DISTRICT HEIGHTS, MD 20747-4280
(301) 455-9205
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220211
MD
Other
Enumeration date
04/08/2021
Last updated
11/24/2022
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