Individual
NICOLE K DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9260 CANTERBURY RIDING, LAUREL, MD 20723-1425
(614) 579-9340
Mailing address
820 BESTGATE RD, STE 2A, ANNAPOLIS, MD 21401-3404
(410) 224-2116
(410) 224-2118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R202121
MD
Other
Enumeration date
07/24/2018
Last updated
08/06/2019
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