Individual
ANDREA HERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11908 BRISTOL MANOR CT, ROCKVILLE, MD 20852-5804
(301) 881-1394
(240) 260-1450
Mailing address
11908 BRISTOL MANOR CT, ROCKVILLE, MD 20852-5804
(301) 881-1394
(240) 260-1450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
00676
MD
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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