Individual
JESSICA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795
(301) 582-1750
Mailing address
15434 YESHUA PLACE, WILLIAMSPORT, MD 21795
(301) 992-2193
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A4536
MD
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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