Individual
ANGELA HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
1311 S MAIN ST STE 104, MOUNT AIRY, MD 21771-5451
(301) 829-4118
Mailing address
1311 S MAIN ST STE 104, MOUNT AIRY, MD 21771-5451
(301) 829-4118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 2529
MD
Other
Enumeration date
06/14/2016
Last updated
12/14/2022
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