Individual
MARIANA MALLYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 WESTERLEE PL APT T1, CATONSVILLE, MD 21228-3732
(240) 547-8753
Mailing address
1206 WESTERLEE PL APT T1, CATONSVILLE, MD 21228-3732
(240) 547-8753
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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