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Individual

MRS. TRACIE LYNN VOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20251 CENTURY BLVD, SUITE 130, GERMANTOWN, MD 20874-1162
(301) 944-0034
Mailing address
1826 FREE TER, FREDERICK, MD 21702-5900
(443) 845-7486

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003927
MD
363AM0700X
Medical Physician Assistant
5601005022
MI

Other

Enumeration date
02/03/2009
Last updated
08/14/2012
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