Individual
ANNE NYAMBURA KIBOCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
2946 SIWANOY DR, EDGEWOOD, MD 21040-3435
(443) 823-3922
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R236973
MD
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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