Individual
MISS BROOKE ALEXANDRA DADDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HOFFECKER RD, CHESTERTOWN, MD 21620-1972
(443) 786-3913
Mailing address
600 HOFFECKER RD, CHESTERTOWN, MD 21620-1972
(443) 786-3913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008861
VA
Other
Enumeration date
01/09/2022
Last updated
12/06/2022
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