Individual
FATOUMATA BA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 WASHINGTON BLVD N STE L, LAUREL, MD 20723-1972
(301) 776-4996
Mailing address
1613 SCOTCH PINE DR, BOWIE, MD 20721-2789
(202) 200-5492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0314991
MD
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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