Individual
COMFORT PETTIQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4126 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5165
(443) 413-8121
Mailing address
4126 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R172213
MD
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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