Individual
MANUEL TERAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 CHURCH LN STE 101, BALTIMORE, MD 21208-3839
(410) 343-9756
Mailing address
104 CHURCH LN STE 101, BALTIMORE, MD 21208-3839
(410) 343-9756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A01000
MD
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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