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Individual

EMILY JANE SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
63 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4396
(301) 698-2424
Mailing address
63 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4396
(301) 698-2424

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009321
MD

Other

Enumeration date
02/12/2024
Last updated
03/20/2025
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