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Individual

MARIA DELORES PEART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PASTOR/DO

Contact information

Practice address
6470 FREETOWN RD, SUITE200#77, COLUMBIA, MD 21044-4016
(410) 660-9378
Mailing address
6470 FREETOWN RD, SUITE 200#77, COLUMBIA, MD 21044-4016
(410) 660-9378

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
374K00000X
Religious Nonmedical Practitioner
78468999
MD
374U00000X
Home Health Aide
Primary
MD

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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