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Organization

NINA VANN JEANES M.D., P.C.

Active
Parent organization
NINA VANN JEANES M.D., P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NINA VANN JEANES M.D., P.C.
Authorized official
NINA VANN JEANES (M.D.)
(301) 670-1873
Entity
Organization

Contact information

Practice address
19221 MONTGOMERY VILLAGE AVENUE, C-20, MONTGOMERY COUNTY, MD 20886
(301) 670-1873
(301) 670-1640
Mailing address
19221 MONTGOMERY VILLAGE AVENUE, C-20, MONTGOMERY COUNTY, MD 20886
(301) 670-1873
(301) 670-1640

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0012101
MD

Other

Enumeration date
04/08/2010
Last updated
04/08/2010
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