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Alice Mformen
NPI 1619333697 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5225 Kenilworth Ave Apt 202
Hyattsville, MD 20781 - Phone
- (202) 758-6421
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-06
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