DANITA TAMARA CUSTIS

PARKVILLE, MD
NPI1528946266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MD  R208603)
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
MS. DANITA TAMARA CUSTIS
3306 WILLOUGHBY RD
PARKVILLE, MD 21234-4832
Phone number: 443-602-6167
Mailing Address
MS. DANITA TAMARA CUSTIS
3306 WILLOUGHBY RD
PARKVILLE, MD 21234-4832
Phone number: 443-602-6167