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NPI 1194054072

IndividualActive

Moni Sanusi

NPI 1194054072 · Contractor · Laurel, MD

Provider details

NPI number: 1194054072
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 23053 (MD)

Practice location

10121 Ancient Sea Path

Laurel, MD 20723

Phone: (301) 325-7188

More MD providers

Mailing address

10121 Ancient Sea Path

Laurel, MD 20723-5862

Registry dates

Enumerated: 2009-12-23
Last updated: 2009-12-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Moni Sanusi — NPI 1194054072, Laurel, MD | NPI Central