DALISA EBONI GUTTER

LA PLATA, MD
NPI1659957785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MD  R261585)
Enumeration Date2021-03-19
Last Update Date2023-10-20
Business Address
DALISA EBONI GUTTER WHNP
101 E CHARLES ST STE 104
LA PLATA, MD 20646-4901
Phone number: 301-609-4800
Mailing Address
DALISA EBONI GUTTER WHNP
900 ELKRIDGE LANDING RD FL 2
LINTHICUM, MD 21090-2924
Phone number: 443-462-5010