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Organization
IMANI HOUSE MEDICAL SERVICES
Active
Organization
IMANI HOUSE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE YOUVONNE KINGEL DR. (NURSE PRACTITIONER)
(410) 624-7190
Entity
Organization
Contact information
Practice address
6101 PARK HEIGHTS AVE APT 1D, BALTIMORE, MD 21215-3640
(410) 624-7190
(410) 624-7193
Mailing address
6101 PARK HEIGHTS AVE APT 1D, BALTIMORE, MD 21215-3640
(410) 624-7190
(410) 624-7193
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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