Individual
MS. PATRICIA ANN WANZER-BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
79TH MED GROUP, MGMC 1050 WEST PERIMETER RD, ANDREWS AIR FORCE BASE, ANDREWS AIR FORCE BASE, MD 20762-6600
(240) 857-4566
(240) 857-4544
Mailing address
2332 WHITE OWL WAY, SUITLAND, MD 20746-1064
(301) 736-8998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09536
MD
Other
Enumeration date
10/11/2007
Last updated
10/15/2007
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