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Individual

RAMATA DIALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1180 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-3045
Mailing address
12406 FALLEN TIMBERS CIR, HAGERSTOWN, MD 21740-1078
(301) 675-5413

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R203515
MD

Other

Enumeration date
08/29/2022
Last updated
12/13/2023
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