Individual
MS. KRISTEN JOY TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17 FONTANA LN, SUITE #101, BALTIMORE, MD 21237-3042
(410) 687-0000
(410) 391-8656
Mailing address
17 FONTANA LN, SUITE #101, BALTIMORE, MD 21237-3042
(410) 687-0000
(410) 391-8656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003079
MD
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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