Individual
MRS. ANGELA MARIE MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1221 MERCANTILE LN, 4TH FLOOR ADMINISTRATION, LARGO, MD 20774-5374
(240) 455-2763
Mailing address
1221 MERCANTILE LN, 4TH FLOOR ADMINISTRATION, LARGO, MD 20774-5374
(240) 455-2763
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R136613
MD
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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