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Theopisty Amimo
NPI 1942758107 · on the registry since 2016
Practice
- Address
- 4040 Blackburn Ln
140
Burtonsville, MD 20866 - Phone
- (240) 345-3115
- Organisation at this address
- Trinity Care Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-16
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