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Individual

HEIDI N RACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
625 KENT AVE STE 302, CUMBERLAND, MD 21502-3775
(301) 777-1930
(301) 777-8470
Mailing address
2007 TIDEWATER COLONY DR, #1-A, ANNAPOLIS, MD 21401-2101
(443) 949-0814
(443) 949-0825

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003559
MD

Other

Enumeration date
08/09/2007
Last updated
10/21/2019
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