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Individual

DANIEL MUTOONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9520 GEORGIA AVE, SILVER SPRING, MD 20910-1436
(240) 432-4211
Mailing address
5708 PARKWAY DR, LAUREL, MD 20707-5400

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12711
MD

Other

Enumeration date
07/24/2014
Last updated
07/24/2014
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