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Individual

MARIA PATRICIA DEZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6950 MAGNOLIA AVE, ELKRIDGE, MD 21075-6333
(352) 215-7288
Mailing address
6950 MAGNOLIA AVE, ELKRIDGE, MD 21075-6333
(352) 215-7288

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
R197841
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R197841
MD

Other

Enumeration date
05/04/2022
Last updated
08/21/2023
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