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1134598055
AYAH MUMAH TANIFORM
UPPER MARLBORO, MD
NPI
1134598055
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Former Name
HONORINE AYAH MUMAH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R190176)
Enumeration Date
2015-09-21
Last Update Date
2021-01-15
Business Address
AYAH MUMAH TANIFORM NP
10600 MELWOOD CHAPEL LN
UPPER MARLBORO, MD 20772-2960
Phone number: 240-646-2242
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Mailing Address
AYAH MUMAH TANIFORM NP
3499 FORT MEADE RD APT 2
LAUREL, MD 20724-2063
Phone number:
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