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Individual

TAWONNA MELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
509 GANDER DR, JOPPA, MD 21085-3447
(443) 676-8340
Mailing address
509 GANDER DR, JOPPA, MD 21085-3447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R174287
MD

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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