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1720856172
LATOYA SHALLOW
UPPER MARLBORO, MD
NPI
1720856172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R187274)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
LATOYA SHALLOW PMHNP-BC
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774-5374
Phone number: 301-618-7121
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Mailing Address
LATOYA SHALLOW PMHNP-BC
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774-5374
Phone number: 240-893-8766
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