Individual
MABI T NTUMAZAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CRAIN HWY S STE 3, GLEN BURNIE, MD 21061-3657
(410) 595-6199
(410) 684-5334
Mailing address
420 CRAIN HWY S STE 3, GLEN BURNIE, MD 21061-3657
(410) 595-6199
(410) 684-5334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R205083
MD
163W00000X
Registered Nurse
RN1029326
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205083
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/04/2012
Last updated
02/17/2023
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