Individual
AKUELE MAYANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 TOPAZ RD, PARKVILLE, MD 21234-4606
(443) 627-3913
Mailing address
2908 TOPAZ RD, PARKVILLE, MD 21234-4606
(443) 627-3913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R235135
MD
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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