Male or Other

Olanrewaju W. Etti

Community/Behavioral Health Agency in Baltimore, MD(View on Map)

Full Name

Olanrewaju W Etti

NPI Number

1962038075

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/20/2020

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

402 E 25TH ST
402 E 25TH ST

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21218-5304
21218-5304

Country

US
US

Telephone Number

(410) 889-3000
(410) 889-3000

Identifiers

Identifier

4436004067

Identifier State

MD

Identifier Issuer

CELLPHONE NUMBER

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

jamiulawal2006@yahoo.com

Endpoint Description

Unknown

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

402 E 25th St Fl 1Baltimore, MD212185304US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/20/2020

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