person
Modupe Banjoh, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Lawrenceville, Georgia
NPI 1861015844

Modupe Banjoh is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Snellville, GA and is specialized in Psychiatric/Mental Health, Child & Adolescent. Modupe Banjoh practices in Lawrenceville, GA and has the professional credentials of RN. The NPI Number for Modupe Banjoh is 1861015844 and holds a License No. RN285748 (Georgia).

The current practice location address for Modupe Banjoh is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 678-209-2394. You can also correspond with Modupe Banjoh through the mailing address at 3165 MANOR CT, SNELLVILLE, GA - 30078-2953 (mailing address contact number: ).

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30078-2953
person
Provider Profile Details
NPI Number
1861015844
Provider Name
Modupe Banjoh
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
175 Gwinnett Dr, Lawrenceville, GA, 30078-2953
Phone Number
678-209-2394
Fax Number
Provider Enumeration Date
05/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
State
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
State
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
RN285748 (Georgia)
Definition
Definition to come...
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