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Ivory Marvin
NPI 1558020750 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3902 Lausanne Rd
Randallstown, MD 21133 - Phone
- (443) 431-9695
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland