Individual
REBECCA TIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
9306 CARSINS RUN APT F, OWINGS MILLS, MD 21117-3794
(443) 452-9017
Mailing address
9306 CARSINS RUN APT F, OWINGS MILLS, MD 21117-3794
(240) 855-5479
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
Z0000294
MD
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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