Individual
TAMIEKO ROSS-ANYASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5919 LEBANON LN, ELKRIDGE, MD 21075-5142
(410) 382-5386
Mailing address
5919 LEBANON LN, ELKRIDGE, MD 21075-5142
(410) 382-5386
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R183031
MD
Other
Enumeration date
10/07/2016
Last updated
10/19/2016
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