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Individual

MS. WENDY QUITASOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 COPPERMINE TER, BALTIMORE, MD 21209-2012
(443) 279-1777
Mailing address
1400 COPPERMINE TER, BALTIMORE, MD 21209-2012

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17297
MD

Other

Enumeration date
06/29/2006
Last updated
11/30/2016
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