Individual
DAMIAN AYICHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9106 PHILADELPHIA RD STE 108B, BALTIMORE, MD 21237-4333
(410) 321-1961
(410) 321-1962
Mailing address
PO BOX 18844, BALTIMORE, MD 21206-0844
(410) 321-1961
(410) 321-1962
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R183349
MD
Other
Enumeration date
09/25/2013
Last updated
10/02/2024
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