Individual
MALISHA DIETTA DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3107 WOODRING AVE, BALTIMORE, MD 21234-7830
(443) 418-3190
Mailing address
10672 ASHFORD CIR, WALDORF, MD 20603-3209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R201406
MD
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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