Individual
REBECCA MANCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10085 RED RUN BLVD, STE 306, OWINGS MILLS, MD 21117-4836
(410) 581-7804
Mailing address
PO BOX 631568, MUH 9 SOUTH, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D62284
MD
Other
Enumeration date
10/17/2006
Last updated
05/24/2021
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