Individual
DR. JENNIFER DANIELLA SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 260-3292
(301) 260-3293
Mailing address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125064690
IL
2086X0206X
Surgical Oncology Physician
Primary
D0090346
MD
Other
Enumeration date
04/01/2014
Last updated
10/27/2020
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