Individual
MS. GEEBIN MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
1500 THAMES ST, UNIT 305, BALTIMORE, MD 21231-3443
(310) 430-4126
Mailing address
7816 MULBERRY BOTTOM LN, SPRINGFIELD, VA 22153-2313
(310) 430-4126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001194656
VA
163W00000X
Registered Nurse
AC000696
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
AC000696
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025036800
—
MD
Enumeration date
05/29/2009
Last updated
07/26/2010
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