Individual
JOHANNA SOFIA VONHAGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2327 HANOVER PIKE, HAMPSTEAD, MD 21074-1150
(443) 507-6035
(443) 507-6953
Mailing address
2327 HANOVER PIKE, HAMPSTEAD, MD 21074-1150
(443) 507-6035
(443) 507-6953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
04/08/2024
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