Individual
JEENA D AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7955 TUCKERMAN LN, ROCKVILLE, MD 20854-3243
(301) 299-3717
Mailing address
14732 PEBBLE HILL LN, NORTH POTOMAC, MD 20878-2447
(240) 413-4080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07043
MD
Other
Enumeration date
02/19/2019
Last updated
12/10/2019
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