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Individual

DATHAO HUYNH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4801 DORSEY HALL DR STE 140, ELLICOTT CITY, MD 21042-7703
(410) 992-4100
Mailing address
9716 SUMMER PARK CT, COLUMBIA, MD 21046-1808
(609) 892-5972

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R225185
MD

Other

Enumeration date
02/27/2020
Last updated
02/27/2020
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