Individual
CONSTANCE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 CENTENNIAL ST STE B, LA PLATA, MD 20646-5985
(301) 934-9111
Mailing address
103 CENTENNIAL ST STE B, LA PLATA, MD 20646-5985
(301) 934-9111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R165485
MD
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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