Most Relevant Information
Provider Data
| NPI Number: | 1003497215 |
| Provider Name: | ADEDAYO TEMITOPE OMOBO CRNP-PMH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R174545 |
Most Important Dates
| Enumeration Date: | 04/19/2021 |
| Last Updated: | 04/19/2021 |
Provider Practice Location
10999 RED RUN BLVD STE 205
OWINGS MILLS
MD
211173249
Practice Location Phone/Fax
| Phone: | 2404627690 |
| Fax: |
Provider Mailing Location
12906 MAYFLOWER PL
BOWIE
MD
207203368
Provider Mailing Phone/Fax
| Phone: | 2404627690 |
| Fax: |