Individual
REBECCA TARGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9 SAINT PAUL ST, 2ND FLOOR, BOONSBORO, MD 21713-1334
(301) 432-6897
Mailing address
7 GRANITE PLACE, #14, GAITHERSBURG, MD 20878
(240) 631-1170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R186190
MD
Other
Enumeration date
12/17/2014
Last updated
09/24/2015
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