Individual
JENNIFER COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CHESAPEAKE BLVD STE B, ELKTON, MD 21921
(443) 303-8987
(443) 245-3464
Mailing address
101 CHESAPEAKE BLVD STE B, ELKTON, MD 21921-6607
(443) 303-8987
(443) 715-0020
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
07/30/2018
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