Individual
PAMELA MANSTOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
512 N MARKET ST, FREDERICK, MD 21701-5243
(240) 439-4305
Mailing address
101 BRADDOCK RD, FROSTBURG, MD 21532-2303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R219764
MD
Other
Enumeration date
01/02/2023
Last updated
01/03/2024
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