Individual provider · Type 1 NPI

Boluwatife Mariam Agboke

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1760388128 Active

Practice location

655 W Lombard St
Baltimore, MD 21201-1512

Call (410) 706-0501 Map

Mailing address

2251 Westwood Dr
Waldorf, MD 20601-3904

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760388128

Boluwatife Mariam Agboke's National Provider Identifier is 1760388128, issued on Oct 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 14, 2026.