Individual
STEPHANIE TANTOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 GATEWAY DR STE 12A, BEL AIR, MD 21014-4243
(410) 638-5588
Mailing address
260 GATEWAY DR STE 12A, BEL AIR, MD 21014-4243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R230657
MD
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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