Search › Maryland › 101YM0800X
Latriz Mimiko
NPI 1972475937 · on the registry since 2025 · sole proprietor
Practice
- Address
- 13302 10th St
Bowie, MD 20715 - Phone
- (202) 378-0172
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-24
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