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Individual

OLIVIA JANE DIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
125 SHOREWAY DR STE 120, QUEENSTOWN, MD 21658-1681
(410) 827-4001
Mailing address
3 PERRY CIR APT F, ANNAPOLIS, MD 21402-1350

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC006253
MD

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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