Individual
REBECCA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
(303) 012-1893
Mailing address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196738
MD
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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