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Individual

SUSAN REBECCA WHITE-DRAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
110 BAUGHMANS LN STE 140, FREDERICK, MD 21702-4649
(240) 215-1138
Mailing address
3807 JUSTIN RD, MONKTON, MD 21111-1813
(443) 617-4181

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R216839
MD

Other

Enumeration date
05/19/2020
Last updated
05/26/2020
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