Individual
BELTA MONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9013 GOLDFIELD PL, CLINTON, MD 20735-2027
(240) 491-7189
Mailing address
9013 GOLDFIELD PL, CLINTON, MD 20735-2027
(240) 491-7189
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006754
DC
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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