DIANE ADAKU TACKIE

GLEN BURNIE, MD
NPI1871894808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C04246)
Enumeration Date2010-11-08
Last Update Date2011-06-01
Business Address
-- DIANE ADAKU TACKIE PA-C
1405 MADISON PARK DR STE 1B
GLEN BURNIE, MD 21061-5864
Phone number: 410-487-6302
Mailing Address
-- DIANE ADAKU TACKIE PA-C
1405 MADISON PARK DR STE 1B
GLEN BURNIE, MD 21061-5864
Phone number: 410-487-6302
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