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Individual

MEMANATU KANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4600 POWDER MILL RD STE 450V, BELTSVILLE, MD 20705-2675
(301) 586-2230
(240) 524-1374
Mailing address
4600 POWDER MILL RD STE 450V, BELTSVILLE, MD 20705-2675
(301) 586-2230
(240) 524-1374

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R175744
MD

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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