Individual
MARY ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(443) 444-8000
Mailing address
4401 BRITTANY DR, ELLICOTT CITY, MD 21043-6019
(901) 481-6300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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