Individual
SUSAN MBURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(443) 849-2000
Mailing address
5016 CATALPHA RD, BALTIMORE, MD 21214-2104
(443) 739-2628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R187969
MD
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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