REBECCA ALIZA THEISE

ELDERSBURG, MD
NPI1629451190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD  R226346)
Enumeration Date2015-07-02
Last Update Date2023-08-22
Business Address
Ms. REBECCA ALIZA THEISE APRN
1645 LIBERTY RD STE 205
ELDERSBURG, MD 21784-6542
Phone number: 203-481-7008
Mailing Address
Ms. REBECCA ALIZA THEISE APRN
3911 N CHARLES ST
BALTIMORE, MD 21218-1733
Phone number: 917-613-0606
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