HERITAGE MEDICAL PROVIDERS

UPPER MARLBORO, MD
NPI1023835196
Entity TypeOrganization
Authorized ContactAYAH TANIFORM
Owner
817-608-7454
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2024-09-20
Last Update Date2024-09-20
Business Address
HERITAGE MEDICAL PROVIDERS
10600 MELWOOD CHAPEL LN
UPPER MARLBORO, MD 20772-2960
Phone number: 817-608-7454
Mailing Address
HERITAGE MEDICAL PROVIDERS
10600 MELWOOD CHAPEL LN
UPPER MARLBORO, MD 20772-2960
Phone number: 817-608-7454
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