Individual
GAYATRI PESTONJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
(301) 668-9988
Mailing address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R203948
MD
Other
Enumeration date
12/12/2012
Last updated
01/30/2013
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