Individual
MARY PRATT BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5570 STERRETT PL, SUITE 308, COLUMBIA, MD 21044-2641
(410) 997-7040
(410) 997-7041
Mailing address
5570 STERRETT PL, SUITE 308, COLUMBIA, MD 21044-2641
(410) 997-7040
(410) 997-7041
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00196
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412684-02
CAREFIRST NON-PAR #
MD
Enumeration date
03/28/2007
Last updated
02/24/2010
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