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Organization

NANCY YOUSSEFI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EARLINE JACKSON (OFFICE MANAGER)
(301) 317-6281
Entity
Organization

Contact information

Practice address
7350 VAN DUSEN RD, SUITE B20, LAUREL, MD 20707-5263
(301) 317-6281
Mailing address
7350 VAN DUSEN RD, SUITE B20, LAUREL, MD 20707-5263
(301) 317-6281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R133461
MD

Other

Enumeration date
03/01/2016
Last updated
03/01/2016
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