Individual
MS. BOLUTIFE JENNIFER BALOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SAINT PAUL ST, APT 10R, BALTIMORE, MD 21202-2649
(631) 897-2943
Mailing address
1010 SAINT PAUL ST, APT 10R, BALTIMORE, MD 21202-2649
(631) 897-2943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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