Individual
MR. JEREMIAH SOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5415 CRESTON AVE, BALTIMORE, MD 21214-2713
(443) 676-8616
Mailing address
5415 CRESTON AVE, BALTIMORE, MD 21214-2713
(443) 676-8616
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R180816
MD
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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