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Individual

EVA S DOMOTORFFY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PEDIATRIC NURSE PRAC

Contact information

Practice address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378
Mailing address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R160374
MD

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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