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1629727730
RENIE EFUETNGU LEKE TAZISONG
COLUMBIA, MD
NPI
1629727730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MD ac004226)
Enumeration Date
2022-03-23
Last Update Date
2024-08-08
Business Address
RENIE EFUETNGU LEKE TAZISONG PMHNP-BC
7067 COLUMBIA GATEWAY DR STE 180
COLUMBIA, MD 21046-3408
Phone number: 410-929-7225
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Mailing Address
RENIE EFUETNGU LEKE TAZISONG PMHNP-BC
5609 PINE BLUFF CT
FREDERICK, MD 21704-6894
Phone number: 240-728-5997
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