JUSTINE MIZE FORTKIEWICZ

COLUMBIA, MD
NPI1164383071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R189061)
Enumeration Date2025-11-20
Last Update Date2026-05-19
Business Address
JUSTINE MIZE FORTKIEWICZ
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045-1848
Phone number: 443-542-0773
Mailing Address
JUSTINE MIZE FORTKIEWICZ
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045-1848
Phone number: 443-542-0773
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