Individual
MS. ANITA L MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BA, JD
Contact information
Practice address
6920 IRONBRIDGE LN, LAUREL, MD 20707-9486
(301) 717-5473
Mailing address
6920 IRONBRIDGE LN, LAUREL, MD 20707-9486
(301) 717-5473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R104904
MD
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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