Individual
MARY BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10115 BARTLEY WAY, LANHAM, MD 20706-2385
(240) 604-3731
Mailing address
10115 BARTLEY WAY, LANHAM, MD 20706-2385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1037663
DC
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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