Individual
ANA T MANOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
1048 PAM ANN LN, LOTHIAN, MD 20711-2600
(443) 771-7882
Mailing address
4015 28TH ST, CHESAPEAKE BEACH, MD 20732-3331
(443) 771-7882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2892
MD
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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