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Individual

ANTONIA SONTE NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12165 ELM ST, PRINCESS ANNE, MD 21853-1358
(410) 651-5151
(410) 651-4256
Mailing address
10416 DEL RAY CT, UPPER MARLBORO, MD 20772-4533
(240) 419-9126

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
04/09/2020
Last updated
06/04/2020
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