Individual
AMINATA MANSARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
849 FAIRMOUNT AVE, TOWSON, MD 21286-2624
(410) 494-0260
Mailing address
849 FAIRMOUNT AVE, TOWSON, MD 21286-2624
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP37002
MD
Other
Enumeration date
10/01/2014
Last updated
04/12/2016
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