Individual
PAULA RENE AMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
9672 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 599-2030
(301) 599-2032
Mailing address
9672 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 599-2030
(301) 599-2032
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
070065
MD
246RP1900X
Phlebotomy Technician
070065
MD
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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