Individual
BERTHA BATE NDJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 DULANEY VALLEY RD, TOWSON, MD 21204-5109
(410) 207-2118
Mailing address
195 GITTINGS AVE, BALTIMORE, MD 21212-2423
(410) 207-2118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17455
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442546400
—
MD
Enumeration date
02/05/2013
Last updated
05/02/2013
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