Individual
ELOISE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
(301) 295-1089
Mailing address
13625 MIDDLEVALE LN, SILVER SPRING, MD 20906-2124
(818) 800-1206
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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