Individual
MRS. JEAN L ABEYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15660 ENSLEIGH LN, BOWIE, MD 20716-3234
(202) 745-8524
Mailing address
15660 ENSLEIGH LN, BOWIE, MD 20716-3234
(202) 745-8524
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0000734
MD
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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