Individual
REBECCA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W EDMONSTON DR STE 404, ROCKVILLE, MD 20852-1274
(301) 762-7723
Mailing address
6020 OFFSHORE GRN, COLUMBIA, MD 21045-3822
(915) 253-4703
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AC005412
MD
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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