Individual
CHARMAINE ANDRA MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MPH, RN
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(240) 563-3747
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(240) 563-3747
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN1019959
DC
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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