Individual
JORGE E PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C-SA
Contact information
Practice address
7253 PROCOPIO CIR, COLUMBIA, MD 21046-1645
(410) 381-2670
Mailing address
7253 PROCOPIO CIR, COLUMBIA, MD 21046-1645
(410) 381-2670
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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