IMMANUEL VAN SLYKE JOSEPH

LAUREL, MD
NPI1932975638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: MD  R180947)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
Mr. IMMANUEL VAN SLYKE JOSEPH RN
8811 SUMNER GROVE DR
LAUREL, MD 20708-3533
Phone number: 240-355-3266
Mailing Address
Mr. IMMANUEL VAN SLYKE JOSEPH RN
8811 SUMNER GROVE DR
LAUREL, MD 20708-3533
Phone number: 240-355-3266