Individual provider · Type 1 NPI
Mabona Soumahoro
Family Nurse Practitioner · Baltimore, MD
NPI number
1114502333
Active
Practice location
2429 Ashton St
Baltimore, MD 21223-2819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R205515 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114502333
Mabona Soumahoro's National Provider Identifier is 1114502333, issued on Mar 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 10, 2021.