Individual
NIA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 E WEST HWY, HYATTSVILLE, MD 20782-1916
(301) 955-0006
(301) 955-0958
Mailing address
3500 E WEST HWY, HYATTSVILLE, MD 20782-1916
(301) 955-0006
(301) 955-0958
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
T09666
MD
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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