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Individual

ALOYS MOGAKA KENYORU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R205857
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205857
MD

Other

Enumeration date
05/03/2024
Last updated
05/07/2024
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