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Individual

RUTH PIERRE CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8130
Mailing address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8130

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA00452
RI
363AS0400X
Surgical Physician Assistant
Primary
C04471
MD

Other

Enumeration date
02/12/2008
Last updated
01/11/2016
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