Individual
KRISTIN CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 BAKER CIR, ADAMSTOWN, MD 21710-9653
(240) 308-4897
Mailing address
2433 LAKESIDE DR, FREDERICK, MD 21702-3157
(240) 308-4897
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A4606
MD
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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