Individual
VATANYA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604A BRIGHTSEAT RD APT 3032, LANDOVER, MD 20785-3784
(240) 938-1196
Mailing address
1604A BRIGHTSEAT RD APT 3032, LANDOVER, MD 20785-3784
(240) 938-1196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
11/29/2023
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