Individual
PATRICIA A LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
503 A MUIR ST, CAMBRIDGE, MD 21613
(410) 228-4045
(410) 221-6457
Mailing address
301 RANDOLPH ST, DENTON, MD 21629
(410) 479-4306
(410) 479-1714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002407
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521116591
TRICARE
MD
01
—
750698
NCPPO
MD
Enumeration date
07/18/2006
Last updated
06/30/2008
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