DANITA TAMARA CUSTIS

BALTIMORE, MD
NPI1528946266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  r208603)
Enumeration Date2025-08-21
Last Update Date2025-09-09
Business Address
Ms. DANITA TAMARA CUSTIS
5610 HARFORD RD
BALTIMORE, MD 21214-2247
Phone number: 443-602-6167
Mailing Address
Ms. DANITA TAMARA CUSTIS
5610 HARFORD RD
BALTIMORE, MD 21214-2247
Phone number: 443-602-6167