Individual
LATIFAT RAIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(347) 455-1225
Mailing address
4020 AMY LN, RANDALLSTOWN, MD 21133-3612
(347) 513-1637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R173093
MD
Other
Enumeration date
04/25/2017
Last updated
03/26/2024
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