Individual
MARCUS MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4802 TEAL WING CT APT 304, COLUMBIA, MD 21045-2279
(443) 470-2736
Mailing address
4802 TEAL WING CT APT 304, COLUMBIA, MD 21045-2279
(443) 470-2736
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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