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Individual

MRS. MYRIAM A PRINSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
409 BUTTERNUT STREET NW SUITE 1, WASH, DC 20012-1925
(202) 437-0400
Mailing address
7302 QUETZAL DR, BOWIE, MD 20720-4347
(202) 427-7016

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT725
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225XP0200X
DC
Enumeration date
09/05/2013
Last updated
09/05/2013
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