Individual
MERCY S TIBUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8106 GORMAN AVE, LAUREL, MD 20707-3570
(240) 593-5609
Mailing address
8106 GORMAN AVE, LAUREL, MD 20707-3570
(240) 593-5609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN500020634
DC
Other
Enumeration date
02/09/2021
Last updated
09/12/2025
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