Individual
BERTHA O MEJIA DE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 E KILMER ST, HYATTSVILLE, MD 20785-2132
(240) 640-3796
Mailing address
7205 E KILMER ST, HYATTSVILLE, MD 20785-2132
(240) 640-3796
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-384
WI
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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