Individual
MARISA S GARCIA FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
8341 PIONEER DRIVE, SEVERN, MD 21144
(410) 467-6040
(410) 735-5898
Mailing address
2204 MARYLAND AVENUE, BALTIMORE, MD 21218
(410) 467-6040
(410) 735-5898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001927
MD
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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