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1790030500
KAMALA DJUANA VIA
BALTIMORE, MD
NPI
1790030500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R151745)
Enumeration Date
2012-07-18
Last Update Date
2012-07-18
Business Address
-- KAMALA DJUANA VIA NP
5601 LOCH RAVEN BLVD SUITE 406
BALTIMORE, MD 21239-2905
Phone number: 443-444-8000
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Mailing Address
-- KAMALA DJUANA VIA NP
5601 LOCH RAVEN BLVD SUITE 406
BALTIMORE, MD 21239-2905
Phone number: 443-444-8000
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