Individual
MS. DITTA IONIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3280 PINE ORCHARD LN APT C, ELLICOTT CITY, MD 21042-2386
(877) 477-4177
(877) 477-4177
Mailing address
3280 PINE ORCHARD LN APT C, ELLICOTT CITY, MD 21042-2386
(877) 477-4177
(877) 477-4177
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00635300
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
R227281
MD
Other
Enumeration date
08/09/2016
Last updated
03/06/2024
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