Individual
FAITHE MARIA BRAZNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 PEDDICOAT COURT, WOODSTOCK, MD 21163
(410) 655-1540
Mailing address
3319 PEDDICOAT CT, WOODSTOCK, MD 21163-1138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11406
MD
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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