Individual
MEG VICTORIA CISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15011 JENKINS RIDGE RD, BOWIE, MD 20721-7259
(301) 675-7569
Mailing address
15011 JENKINS RIDGE RD, BOWIE, MD 20721-7259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R181581
MD
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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