Individual
DR. MARILOU GUERZON TABLANG-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20500 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7008
(301) 515-7315
(301) 916-0163
Mailing address
11406 PIEDMONT COURT, CLARKSBURG, MD 20871
(301) 528-5214
(301) 540-8454
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0050985
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D0050985
MD
Other
Enumeration date
01/19/2007
Last updated
10/04/2007
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