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1114618766
DIANE AURELIE MEFODAM NWAMOH
BALTIMORE, MD
NPI
1114618766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R217858)
Enumeration Date
2023-05-16
Last Update Date
2024-06-20
Business Address
DIANE AURELIE MEFODAM NWAMOH PMHNP-BC
1400 W LOMBARD STREET STE A, PMB 2090
BALTIMORE, MD 21223-3134
Phone number: 443-447-1063
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Mailing Address
DIANE AURELIE MEFODAM NWAMOH PMHNP-BC
1400 W LOMBARD STREET STE A, PMB 2090
BALTIMORE, MD 21223-3134
Phone number: 443-447-1063
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