KYANA MONIQUE IDI

BALTIMORE, MD
NPI1346575032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0003961)
Enumeration Date2009-10-14
Last Update Date2016-04-20
Business Address
MRS. KYANA MONIQUE IDI PA-C
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-5355
Mailing Address
MRS. KYANA MONIQUE IDI PA-C
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-5355
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