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1326769464
MINADIA ISAMAR ELLIS
LANHAM, MD
NPI
1326769464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD AC004629)
Enumeration Date
2022-09-07
Last Update Date
2024-03-01
Business Address
MINADIA ISAMAR ELLIS PMHNP-BC
7375 EXECUTIVE PL STE 400 #1023
LANHAM, MD 20706-6232
Phone number: 301-323-8335
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Mailing Address
MINADIA ISAMAR ELLIS PMHNP-BC
7375 EXECUTIVE PL STE 400 #1023
LANHAM, MD 20706-6232
Phone number: 301-323-8335
Copy
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