Individual
VASTINA DENISE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5712 ROLLAND AVE 2D, BALT, MD 21210
(443) 514-5775
Mailing address
5712 ROLLAND AVE 2D, BALT, MD 21210
(443) 514-5775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A08149
MD
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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