Organization
CHOSEN PEDIATRICS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOFOLUKE SOBOWALE CRNP (NURSE PRACTITIONER)
(443) 854-8563
Entity
Organization
Contact information
Practice address
7746 RITCHIE HWY, GLEN BURNIE, MD 21061-4378
(443) 854-8563
Mailing address
7746 RITCHIE HWY, GLEN BURNIE, MD 21061-4378
(443) 854-8563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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