Individual
KIMBERLIE ANN MANNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15849 REDLAND RD, DERWOOD, MD 20855-2206
(240) 389-1971
(240) 389-1957
Mailing address
15849 REDLAND RD, DERWOOD, MD 20855-2206
(240) 389-1971
(240) 389-1957
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
09062018DDA
MD
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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