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NPI Code Detail

MEDICARE: NAOMI MIRIAM SECK

MEDICARE: NAOMI MIRIAM SECK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134813074
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI MIRIAM SECK
Provider Business Mailing Address
First Line : 3505 MASE LN
Second Line :
City : BOWIE
State : MD
Zip : 20715-2916
Country : US
Telephone Number : 202-697-3212
Fax Number :
Provider Business Practice Location Address
First Line : 11150 RESORT RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2050
Country : US
Telephone Number : 410-461-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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Directions to “ NAOMI MIRIAM SECK ” Practice Location

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