Individual
MILISSA MAE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R192768
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609500300
—
MD
05
—
609500301
—
MD
05
—
609500303
—
MD
Enumeration date
07/17/2015
Last updated
07/21/2015
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