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Individual

MS. PARISE A. STREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2114 GENERALS HWY, ANNAPOLIS, MD 21401-7488
(410) 224-6905
Mailing address
2209C DEFENSE HWY, CROFTON, MD 21114-2403

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006584
MD

Other

Enumeration date
09/06/2017
Last updated
09/06/2017
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