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1164155859
AMANDA ISMAIL
COLUMBIA, MD
NPI
1164155859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R231117)
Enumeration Date
2022-07-08
Last Update Date
2024-02-16
Business Address
AMANDA ISMAIL CRNP-PMH
10450 SHAKER DR STE 110
COLUMBIA, MD 21046-2348
Phone number: 410-457-3196
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Mailing Address
AMANDA ISMAIL CRNP-PMH
3010 STONYBROOK DR
BOWIE, MD 20715-2234
Phone number:
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