Individual
DALLY ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-2475
Mailing address
14022 JUMP DR, GERMANTOWN, MD 20874-6122
(484) 674-5487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208579
MD
Other
Enumeration date
01/27/2020
Last updated
07/31/2024
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