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Individual

MISS MASHA TATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
316 AHERN DR, EDGEWOOD, MD 21040-3400
(718) 974-6288
Mailing address
316 AHERN DR, EDGEWOOD, MD 21040-3400
(718) 974-6288

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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