Individual
MKPOUTO N UDOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201-1756
(931) 502-9455
Mailing address
463 SHORE ACRES RD, ARNOLD, MD 21012-1920
(931) 502-9455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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