Individual
CHAVONE TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 CAPTAIN WENDELL PRUITT WAY, FORT WASHINGTON, MD 20744-1533
(856) 562-1000
Mailing address
3607 CAPTAIN WENDELL PRUITT WAY, FORT WASHINGTON, MD 20744-1533
(856) 562-1000
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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