Individual
PRISCILLA DEDE AZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 MARKET SQUARE DR, PRINCE FREDERICK, MD 20678-3173
(410) 535-5313
Mailing address
11325 COLUMBIA PIKE APT C1, SILVER SPRING, MD 20904-2503
(774) 670-6974
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
24693
MD
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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