Individual
CHO MOT MOT LWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13110 BELLE MEADE TRCE, BOWIE, MD 20720-4680
(240) 461-0555
Mailing address
13110 BELLE MEADE TRCE, BOWIE, MD 20720-4680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2465PA
PR
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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