Individual
CONSTANCE MAFOR TAZEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3906
(301) 221-0326
(410) 535-6590
Mailing address
150 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3906
(301) 221-0326
(410) 535-6590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14348
MD
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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