Individual
MAZALO BIANOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11508 LOCKWOOD DR APT C2, SILVER SPRING, MD 20904-2407
(301) 979-3990
Mailing address
11508 LOCKWOOD DR APT C2, SILVER SPRING, MD 20904-2407
(301) 979-3990
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00173253
MD
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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