Individual
TRACY MUTHAMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 DAVIDSONVILLE RD, CROFTON, MD 21114-1317
(410) 721-3762
Mailing address
2003 DAVIDSONVILLE RD, CROFTON, MD 21114-1317
(410) 721-3762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194960
MD
Other
Enumeration date
03/18/2021
Last updated
03/15/2024
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