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CHRISTINE FLEURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2209 DEFENSE HWY, SUITE C, CROFTON, MD 21114-2403
(443) 332-1533
(443) 332-4271
Mailing address
2209 DEFENSE HWY, SUITE C, CROFTON, MD 21114-2403
(443) 332-1533
(443) 332-4271

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009124-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000403511005
BSNENY
NY
05
02420313
NY
01
070418000045
FIDELIS
NY
01
4151248
MVP
NY
Enumeration date
10/04/2006
Last updated
04/05/2011
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