Individual
MRS. MEMUNA MANSARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 LAVENHAM PL, GAITHERSBURG, MD 20877-3469
(202) 251-1742
Mailing address
11 LAVENHAM PL, GAITHERSBURG, MD 20877-3469
(202) 251-1742
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
670
DC
Other
Enumeration date
04/26/2007
Last updated
07/09/2007
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