Individual
LISA MARIE MARKESINO VAN WORMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3623 DORSHIRE CT, PASADENA, MD 21122-6457
(912) 980-7920
Mailing address
3623 DORSHIRE CT, PASADENA, MD 21122-6457
(912) 980-7920
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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