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Individual

DAWN RENEA STANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4416 E WEST HWY STE 410, BETHESDA, MD 20814-4568
(202) 888-6731
Mailing address
18014 BLISS DR, POOLESVILLE, MD 20837-2401
(301) 922-3301

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002232
MD

Other

Enumeration date
05/08/2023
Last updated
04/06/2024
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