Individual
MISS IRENE RABERA RATEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
108 MORRIS DR, LAUREL, MD 20707-4516
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C06821
MD
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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