DIANE ADAKU TACKIE

TOWSON, MD
NPI1871894808
Professional NameDIANE TACKIE GRANILLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C04246)
Enumeration Date2010-11-08
Last Update Date2025-06-04
Business Address
DIANE ADAKU TACKIE PA-C
40 YORK RD STE 110
TOWSON, MD 21204-5243
Phone number: 202-951-7942
Mailing Address
DIANE ADAKU TACKIE PA-C
40 YORK RD STE 110
TOWSON, MD 21204-5243
Phone number: 202-951-7942
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