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Individual

JESS AGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8720 EMGE RD, PARKVILLE, MD 21234-3504
(410) 668-1961
Mailing address
2308 ESSEX ST, BALTIMORE, MD 21224-3615
(410) 507-5637

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4119
MD

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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