Individual
MYRIAM DIATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14502 GREENVIEW DR # 500L21, LAUREL, MD 20708-3287
(301) 728-3574
(940) 514-9077
Mailing address
3425 LONDONLEAF LN, LAUREL, MD 20724-2902
(202) 390-6990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R187091
MD
Other
Enumeration date
08/29/2017
Last updated
05/14/2021
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