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Individual

HANS PRINCE DOHERTY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10203 GRANDHAVEN AVE, UPPER MARLBORO, MD 20772-6656
(443) 240-7072
Mailing address
10203 GRANDHAVEN AVE, UPPER MARLBORO, MD 20772-6656
(443) 240-7072

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00000000000000000000
MD

Other

Enumeration date
10/26/2017
Last updated
02/23/2023
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