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1013546100
ISSA TEW LO
FREDERICK, MD
NPI
1013546100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MD R182467)
Enumeration Date
2020-04-02
Last Update Date
2021-12-06
Business Address
ISSA TEW LO CRNP
814 TOLL HOUSE AVE
FREDERICK, MD 21701-4519
Phone number: 301-662-8310
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Mailing Address
ISSA TEW LO CRNP
730 MONARCH RIDGE RD
FREDERICK, MD 21703-2226
Phone number: 301-788-7089
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