Individual
VYNESSA PANTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10479 FAIR OAKS, COLUMBIA, MD 21044-4141
(518) 253-0687
Mailing address
10479 FAIR OAKS, COLUMBIA, MD 21044-4141
(518) 253-0687
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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