Individual
MYQUEEN DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(240) 677-1000
Mailing address
2121 1ST ST SW APT 619, WASHINGTON, DC 20024-3589
(312) 756-9177
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R240730
MD
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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