Individual
STEPHEN N WAINAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 THYME ST, ELKTON, MD 21921-6570
(410) 398-5374
Mailing address
22 THYME ST, ELKTON, MD 21921-6570
(410) 398-5374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-0002664
DE
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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