Individual
ISAURA HUNDERTMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7676 NEW HAMPSHIRE AVE, SUITE 220A, TAKOMA PARK, MD 20912-7512
(301) 431-2972
(301) 439-0008
Mailing address
8630 FENTON ST, SUITE 1204, SILVER SPRING, MD 20910-3806
(301) 340-7525
(240) 499-2636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
T20150038
MD
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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