Individual
KIM BAO VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201-1756
(443) 474-6002
Mailing address
6733 GOSHEN HUNT RD, ELKRIDGE, MD 21075-5552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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