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1053808196
JUBETH FONTANILLA
PARKVILLE, MD
NPI
1053808196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R165036)
Enumeration Date
2018-04-14
Last Update Date
2022-09-29
Business Address
JUBETH FONTANILLA
8800 WALTHER BLVD
PARKVILLE, MD 21234-9001
Phone number: 410-882-3240
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Mailing Address
JUBETH FONTANILLA
5730 EXECUTIVE DR STE 230
CATONSVILLE, MD 21228-1762
Phone number:
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