Individual
FATOUMATA D DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MERCANTILE LN # 129-2, UPPER MARLBORO, MD 20774-5327
(301) 272-1055
(301) 272-1056
Mailing address
1300 MERCANTILE LN # 129-2, UPPER MARLBORO, MD 20774-5327
(301) 272-1055
(301) 272-1056
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R218923
MD
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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