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TANYA REGINE PALLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
575 MAIN ST, SUITE351, LAUREL, MD 20707-4343
(301) 498-5990
Mailing address
2491 REVERE CT, CROFTON, MD 21114-3251
(410) 721-1554

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002443
MD

Other

Enumeration date
06/06/2006
Last updated
10/23/2007
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