Individual
MORIAM O BALOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3302 SAWTOOTH DR, TALLAHASSEE, FL 32303-7368
(850) 339-2952
(850) 339-2952
Mailing address
3302 SAWTOOTH DR, TALLAHASSEE, FL 32303-7368
(850) 339-2952
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9355877
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9355877
FL
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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