DWAYNE OMAR ENNIS

PRINCE FREDERICK, MD
NPI1700607835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD  R173805)
Enumeration Date2024-10-21
Last Update Date2024-10-21
Business Address
DWAYNE OMAR ENNIS PMHNP-BC
100 HOSPITAL RD
PRINCE FREDERICK, MD 20678-4017
Phone number: 917-560-5145
Mailing Address
DWAYNE OMAR ENNIS PMHNP-BC
100 HOSPITAL RD
PRINCE FREDERICK, MD 20678-4017
Phone number:
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