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1609617703
PATRICIA MAFORNGWAHFOR TALA
CLINTON, MD
NPI
1609617703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R224410)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
PATRICIA MAFORNGWAHFOR TALA
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735-2555
Phone number: 240-643-1063
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Mailing Address
PATRICIA MAFORNGWAHFOR TALA
10203 BIRDIE LN
UPPER MARLBORO, MD 20774-6068
Phone number: 240-486-2745
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