Individual
JACQUELINE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
11 TRELAWNY CT, LUTHERVILLE, MD 21093-4728
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0005970
MD
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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