Individual
ZELBESA VAILIIDA DAKUE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28 HADDINGTON RD, TIMONIUM, MD 21093-5719
(410) 961-0844
Mailing address
28 HADDINGTON RD, TIMONIUM, MD 21093-5719
(410) 961-0844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R137492
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R137492
MD
363LG0600X
Gerontology Nurse Practitioner
R137492
MD
Other
Enumeration date
05/13/2015
Last updated
08/19/2024
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