Individual
GISSELLA MANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 GREEN DORY LN, COLUMBIA, MD 21044-1915
(301) 640-8687
Mailing address
5526 GREEN DORY LN, COLUMBIA, MD 21044-1915
(301) 640-8687
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
RN1039408
DC
163W00000X
Registered Nurse
R218563
MD
163WC0200X
Critical Care Medicine Registered Nurse
R218563
MD
163WC0200X
Critical Care Medicine Registered Nurse
RN1039408
DC
163WM0705X
Medical-Surgical Registered Nurse
RN1039408
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R218563
MD
363LA2100X
Acute Care Nurse Practitioner
RN1039408
DC
374U00000X
Home Health Aide
—
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/29/2012
Last updated
10/13/2020
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