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Individual

LUCY TANYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1107 KINGSDALE CT, BOWIE, MD 20721-2019
(240) 701-5715
Mailing address
1107 KINGSDALE CT, BOWIE, MD 20721-2019

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP40149
MD

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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