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Individual

BAINDU LEEMU MANSARAY-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
19310 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3029
(301) 921-0445
Mailing address
11602 BRIGIT CT, BOWIE, MD 20720-4486
(240) 441-7732

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R194518
MD

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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