Individual
JANAYE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 MAPLE TREE DR APT 2G, GLEN BURNIE, MD 21060-8564
(667) 231-1033
Mailing address
309 MAPLE TREE DR APT 2G, GLEN BURNIE, MD 21060-8564
(667) 231-1033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02115
MD
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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