JUSTINE MIZE FORTKIEWICZ

SILVER SPRING, MD
NPI1164383071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R189061)
Enumeration Date2025-11-20
Last Update Date2025-11-25
Business Address
JUSTINE MIZE FORTKIEWICZ
1810 TILTON DR
SILVER SPRING, MD 20902-4010
Phone number: 202-361-9179
Mailing Address
JUSTINE MIZE FORTKIEWICZ
1810 TILTON DR
SILVER SPRING, MD 20902-4010
Phone number: 202-361-9179