Individual
TAVON TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6509 WINDSOR MILL RD, GWYNN OAK, MD 21207-5380
(410) 777-3978
Mailing address
6509 WINDSOR MILL RD, GWYNN OAK, MD 21207-5380
(410) 777-3978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R157924
MD
Other
Enumeration date
03/09/2023
Last updated
06/27/2023
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