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MRS. HEATHER KONTAXIS LOVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3054
Mailing address
7856 MILKSHED PL, ELKRIDGE, MD 21075-6130
(443) 755-0945

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C0002296
MD
363A00000X
Physician Assistant
Primary
C0002296
MD

Other

Enumeration date
06/19/2006
Last updated
08/10/2007
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