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Individual

MRS. JUANITA DENISE ALLEN-HECKSTALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8210 COLONIAL LN, SILVER SPRING, MD 20910-5721
(301) 585-1250
(301) 585-6289
Mailing address
14705 VAN WAGNER RD, UPPER MARLBORO, MD 20772-9715
(301) 952-1188
(301) 952-1310

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R157318
MD

Other

Enumeration date
02/27/2007
Last updated
02/17/2012
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