Individual
MRS. SUSAN WANGECI MANYARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 NORTH GREENE STREET, BALTIMOR VA MEDICAL CENTER, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
2816 KINGS GIFT DR, ELLICOTT CITY, MD 21042-2032
(410) 531-8490
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R107884
MD
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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