Individual
DR. MAVIS YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4025 W NORTHERN PKWY, BALTIMORE, MD 21215-4412
(410) 764-9570
Mailing address
4025 W NORTHERN PKWY, BALTIMORE, MD 21215-4412
(410) 764-9570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19986
MD
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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