Individual
JUNYA DUCREPIN-TILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10205 BALSAMWOOD DR, LAUREL, MD 20708-3155
(631) 742-1932
Mailing address
10205 BALSAMWOOD DR, LAUREL, MD 20708-3155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192306
MD
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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