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Individual

REAGAN DENISE MONTEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10401 HOSPITAL DR STE 101, CLINTON, MD 20735-3150
(301) 856-2323
Mailing address
10401 HOSPITAL DR STE 101, CLINTON, MD 20735-3150
(301) 856-2323

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008506
VA
363A00000X
Physician Assistant
Primary
C08432
MD
363A00000X
Physician Assistant
DC

Other

Enumeration date
05/07/2022
Last updated
12/08/2022
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