Individual
MOUTIATOU SANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9865 GOOD LUCK RD, APT 8, LANHAM, MD 20706-3203
(240) 423-7366
Mailing address
9865 GOOD LUCK RD, APT 8, LANHAM, MD 20706-3203
(240) 423-7366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008002
DC
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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