Individual
CHRISTL DANIELLE BONAPARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12222 MCCULLAGH CT, UPPER MARLBORO, MD 20772-5300
(619) 454-6707
Mailing address
12222 MCCULLAGH CT, UPPER MARLBORO, MD 20772-5300
(619) 454-6707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001743
VA
363AM0700X
Medical Physician Assistant
C0003486
MD
Other
Enumeration date
10/31/2005
Last updated
02/06/2019
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