Individual
QUEEN UMUTESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9807 DEE WAY, MIDDLE RIVER, MD 21220-1755
(650) 308-4550
Mailing address
9807 DEE WAY, MIDDLE RIVER, MD 21220-1755
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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