Individual
MRS. JEAN ELIZABETH PREVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
111 PARK AVE, BALTIMORE, MD 21201-3402
(443) 703-1228
Mailing address
4414 MEADOWCLIFF RD, GLEN ARM, MD 21057-9536
(410) 592-6969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001683
MD
Other
Enumeration date
11/08/2005
Last updated
01/20/2010
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