NICOL RENEE AWADALLA BACON

WASHINGTON, DC
NPI1104062454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: DC  MD046588)
Enumeration Date2008-12-16
Last Update Date2018-10-18
Business Address
NICOL RENEE AWADALLA BACON MD
111 MICHIGAN AVE NW
WASHINGTON, DC 20010-2916
Phone number: 202-476-5000
Mailing Address
NICOL RENEE AWADALLA BACON MD
PO BOX 37215
BALTIMORE, MD 21297-3215
Phone number: 202-476-5000