Individual
CHARNIECE L SEVILLA-MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 HARDMOORE CT # C, GLEN BURNIE, MD 21061-6100
(703) 965-1069
Mailing address
430 HARDMOORE CT # C, GLEN BURNIE, MD 21061-6100
(703) 965-1069
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00191699
MD
Other
Enumeration date
10/08/2021
Last updated
04/30/2024
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