Individual
FAYE ANN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 LAVALL CT, GLENARDEN, MD 20774-7502
(301) 318-2788
Mailing address
3103 LAVALL CT, GLENARDEN, MD 20774-7502
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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