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Individual

DR. TESSA ARIEL MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
203 HOSPITAL DR, SUITE 200, GLEN BURNIE, MD 21061
(410) 760-8840
(410) 760-8847
Mailing address
1652 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(410) 760-8840
(410) 760-8847

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
01390
MD
231H00000X
Audiologist
Primary
14450
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
448603000
MD
Enumeration date
07/05/2016
Last updated
10/21/2020
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