Individual
MISS JIJU KAWASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-8903
(667) 234-3382
Mailing address
9332 BREAMORE CT, LAUREL, MD 20723-5976
(301) 956-0108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C09007
MD
363A00000X
Physician Assistant
Primary
C09007
MD
Other
Enumeration date
08/11/2023
Last updated
09/11/2023
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