Individual
JENELLE TITTELFITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4451 PARLIAMENT PL STE G, LANHAM, MD 20706-1873
(301) 459-9113
Mailing address
7611 RESERVE CIR, APT 004, WINDSOR MILL, MD 21244-1646
(541) 337-0142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005962
MD
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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