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Individual

MRS. GINGER LYNN PRATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11719 HENLEY CT, WALDORF, MD 20602-4101
(301) 412-0469
Mailing address
11719 HENLEY CT, WALDORF, MD 20602-4101
(301) 412-0469

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
03/24/2022
Last updated
03/24/2022
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