Individual
KATHRYN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ORLEANS ST, ZAYED 6114-B2, BALTIMORE, MD 21287-0010
(443) 287-4561
Mailing address
2511 RUNNING WOLF TRL, ODENTON, MD 21113-3643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005772
MD
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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