Individual
MRS. COLLEEN LOUISE OHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12830 HOLIDAY LN, BOWIE, MD 20716-1140
(410) 937-6735
Mailing address
12830 HOLIDAY LN, BOWIE, MD 20716-1140
(410) 937-6735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003669
MD
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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