MAVIS KISSEADOO

COLUMBIA, MD
NPI1366081887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R205356)
Enumeration Date2020-01-01
Last Update Date2020-01-01
Business Address
MAVIS KISSEADOO PMHNP
10208 HICKORY RIDGE RD APT 302
COLUMBIA, MD 21044-4688
Phone number: 667-200-6144
Mailing Address
MAVIS KISSEADOO PMHNP
10208 HICKORY RIDGE RD APT 302
COLUMBIA, MD 21044-4688
Phone number: 667-200-6144
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