Individual
STACEY BROWN DAFFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3200
Mailing address
201 DEFENSE HWY, STE 100, ANNAPOLIS, MD 21401-8902
(443) 481-5597
(443) 481-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005147
MD
Other
Enumeration date
10/30/2013
Last updated
08/30/2019
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