Individual
MIRABEL EFUNDEM TANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 WOODY TER, CLINTON, MD 20735-4255
(301) 856-6501
(301) 856-6507
Mailing address
9001 WOODY TER, CLINTON, MD 20735-4255
(301) 856-6501
(301) 856-6507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27208
MD
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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