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Individual

MS. MAMAWA LOVETTE KALLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1307 MERRITT BLVD, DUNDALK, MD 21222-2109
(410) 288-2121
Mailing address
2004 ROCK SPRING RD, FOREST HILL, MD 21050-2607
(443) 640-4524

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R177881
MD

Other

Enumeration date
05/25/2021
Last updated
04/11/2022
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