Individual
INGRID MEJELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 LA SALLE ROAD, HYATTSVILLE, MD 20782-3634
(301) 408-9046
Mailing address
2400 QUEENS CHAPEL RD APT 810, HYATTSVILLE, MD 20782-3634
(301) 408-9046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23473
MD
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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