Individual
MARY CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 EASTERN AVE, BALTIMORE, MD 21224-2734
(667) 306-6540
Mailing address
5200 EASTERN AVE, BALTIMORE, MD 21224-2734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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