Individual
MICHAL MAUDA HAVAKUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 S HANOVER ST DEPT OF, BALTIMORE, MD 21225-1233
(410) 350-8222
(410) 350-8220
Mailing address
3001 S HANOVER ST DEPT OF, BALTIMORE, MD 21225-1233
(410) 350-8222
(410) 350-8220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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