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Glory Tataw
Psychiatric/Mental Health Registered Nurse in Ellicott City, Maryland
NPI 1033782115

Glory Tataw is a Psychiatric/Mental Health Registered Nurse based in Ellicott City, MD and is specialized in Psychiatric/Mental Health. Glory Tataw practices in Ellicott City, MD. The NPI Number for Glory Tataw is 1033782115 and holds a License No. R222480 (Maryland).

The current practice location address for Glory Tataw is 3203A Corporate Ct, Ellicott City, MD and can be reached out via phone at 410-205-2458.

Location: 3203A Corporate Ct, Ellicott City, MD, 21042-2247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033782115
Provider Name
Glory Tataw
Credential
Provider Entity Type
Individual
Gender
Female
Address
3203A Corporate Ct, Ellicott City, MD, 21042-2247
Phone Number
410-205-2458
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3203A Corporate Ct
City
Ellicott City
State
Maryland
Zip
21042-2247
Phone Number
410-205-2458
Fax Number
person
Provider Business Mailing Address Details
Address
3203A Corporate Ct
City
Ellicott City
State
Maryland
Zip
21042-2247
Phone Number
410-205-2458
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
R222480 (Maryland)
Definition
Definition to come...
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