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Individual

TAYANNA GUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
821 N EUTAW ST, BALTIMORE, MD 21201-4648
(410) 225-9185
Mailing address
582 LUCIA AVE, BALTIMORE, MD 21229-4514
(443) 629-2729

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP55870
MD

Other

Enumeration date
09/26/2023
Last updated
09/26/2023
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