Individual
MRS. JAIMIE WOTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
231 NAJOLES RD STE 300, MILLERSVILLE, MD 21108-2659
(443) 351-3376
(443) 494-2303
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM, MD 21090-1033
(443) 351-3376
(410) 431-8935
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004840
MD
Other
Enumeration date
09/19/2012
Last updated
07/21/2022
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