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Individual

DR. RODOLFO LUIS ZEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2101 LAMAR CT, FALLSTON, MD 21047-1821
(410) 893-5669
Mailing address
2101 LAMAR CT, FALLSTON, MD 21047-1821
(410) 893-5669

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01263
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60484701
BLUE CROSS BLUE SHIELD
MD
01
6100130
EVERCARE
MD
01
G3960012
BC/BS NATIONAL CAPITAL
DC
Enumeration date
06/13/2006
Last updated
03/10/2008
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