Individual
DAPHNE ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 JONES STATION RD W, SEVERNA PARK, MD 21146-4200
(410) 647-0451
Mailing address
56 JOYCETON WAY, UPPER MARLBORO, MD 20774-1400
(301) 535-7520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R190278
MD
Other
Enumeration date
06/14/2016
Last updated
08/15/2016
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