Individual
ELISE KATRINA DZINTARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2000
Mailing address
3549 ROLAND AVE, APT 202, BALTIMORE, MD 21211-2432
(503) 730-3623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004510
MD
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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