Individual
MRS. MAUREEN D IVUSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18400 BILLEK CT, POOLESVILLE, MD 20837-2510
(301) 514-2105
Mailing address
18400 BILLEK CT, POOLESVILLE, MD 20837-2510
(301) 514-2105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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