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Individual

WENDY TATIANA BOTERO TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
22 SOUTH GREEN STREET, DIVISION OF CARDIAC SURGERY, BALTIMORE, MD 21201
(973) 975-7749
Mailing address
506 S ELLWOOD AVE, BALTIMORE, MD 21224-3919

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006582
MD

Other

Enumeration date
09/25/2017
Last updated
10/21/2021
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