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Individual

MARY KOWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
4023 9TH ST NE APT 3, WASHINGTON, DC 20017-3712

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1048243
DC

Other

Enumeration date
05/15/2018
Last updated
01/11/2021
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