Individual
MS. MARY KOTTKE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, PA-C
Contact information
Practice address
6704 COCKERILLE AVE, TAKOMA PARK, MD 20912-4730
(907) 957-2535
Mailing address
6704 COCKERILLE AVE, TAKOMA PARK, MD 20912-4730
(907) 957-2535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
555
AK
Other
Enumeration date
03/20/2007
Last updated
05/04/2015
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