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1245480557
MODESTA VESONDER
HYATTSVILLE, MD
NPI
1245480557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R136583)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
-- MODESTA VESONDER CRNP
4922 LASALLE RD
HYATTSVILLE, MD 20782-3302
Phone number: 301-864-2333
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Mailing Address
-- MODESTA VESONDER CRNP
10204 BALSAMWOOD DR
LAUREL, MD 20708-3154
Phone number: 301-604-7097
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