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Individual

DALISA EBONI GUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
5010 REGENCY PLACE, SUITE 301, LA PLATA, MD 20646-4901
(301) 609-4800
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R261585
MD

Other

Enumeration date
03/19/2021
Last updated
11/03/2025
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