Individual
CLARISA DANA QUARLES-DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
3195 OLD WASHINGTON RD, WALDORF, MD 20602-3201
(240) 419-3658
Mailing address
12811 ASBURY DR, FORT WASHINGTON, MD 20744-6408
(301) 292-9650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R160007
MD
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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