Individual
REZENE ASGHODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, MSC
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(410) 737-5200
Mailing address
13205 RIPPLING BROOK DR, SILVER SPRING, MD 20906-5313
(312) 515-3047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19725
MD
Other
Enumeration date
05/19/2017
Last updated
06/21/2017
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