Individual
UTIETIANG STANLEY UNIMNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
2304 228TH ST, PASADENA, MD 21122-7801
(124) 089-9278
Mailing address
2304 228TH ST, PASADENA, MD 21122-7801
(124) 089-9278
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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