Organization
LASER PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MULLENDORE DPM (OWNER)
(301) 515-1494
Entity
Organization
Contact information
Practice address
19527 DOCTORS DR, GERMANTOWN, MD 20874-5262
(301) 515-1494
Mailing address
19527 DOCTORS DR, GERMANTOWN, MD 20874-5262
(301) 515-1494
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01423
MD
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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