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Individual

NICOLE PRINCE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
18101 PRINCE PHILIP DRIVE, OLNEY, MD 20832
(301) 774-8900
(301) 570-8571
Mailing address
20010 CENTURY BOULEVARD, SUITE 200, GERMANTOWN, MD 20874
(240) 686-2300
(240) 686-2330

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004676
MD

Other

Enumeration date
02/10/2012
Last updated
02/10/2012
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