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Individual

MS. MARY DELLA-DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.E. (LICENSED ELECT

Contact information

Practice address
1621 SULGRAVE AVE, ATTN: VILLAGE ELECTROLYSIS, BALTIMORE, MD 21209
(410) 578-0033
Mailing address
1621 SULGRAVE AVE, ATTN: VILLAGE ELECTROLYSIS, BALTIMORE, MD 21209
(410) 578-0033

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
EO1228
MD

Other

Enumeration date
12/02/2019
Last updated
12/02/2019
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