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Individual

ROSE MARENE PEARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
490L PROSPECT BLVD, FREDERICK, MD 21701-6400
(240) 566-3001
(240) 566-3003
Mailing address
6100 MOUNTAIN CHURCH RD, JEFFERSON, MD 21755-9509
(301) 371-5404

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R076425
MD

Other

Enumeration date
06/14/2006
Last updated
03/12/2010
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