JENNIFER LACEY PANTOJA

FREDERICK, MD
NPI1285093047
Former NameJENNIFER LACEY HUSSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R218266)
Enumeration Date2016-02-22
Last Update Date2024-08-26
Business Address
Miss JENNIFER LACEY PANTOJA NP
61 THOMAS JOHNSON DR STE B
FREDERICK, MD 21702-4301
Phone number: 240-215-0454
Mailing Address
Miss JENNIFER LACEY PANTOJA NP
20805 FAIRWAY VIEW DR
GAITHERSBURG, MD 20882-1841
Phone number: 434-610-9811
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