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Individual

MRS. PHNONIA RAQUEL ROJAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
7711 QUARTERFIELD RD, SUITE A, GLEN BURNIE, MD 21061-4492
(410) 761-5600
(410) 761-5734
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003995
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00794931
RAILROAD MEDICARE
MD
Enumeration date
11/11/2009
Last updated
08/21/2019
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