Search › Maryland › 363L00000X
Mingo Boards
NPI 1821727702 · on the registry since 2022
Practice
- Address
- 4305 Spring Foal Ct
Upper Marlboro, MD 20772 - Phone
- (843) 601-7525
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-07
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