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Individual

EMMY L ESTRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12150 ANNAPOLIS RD STE 208, GLENN DALE, MD 20769-9183
(301) 218-0398
Mailing address
5709 STILLWELL RD, ROCKVILLE, MD 20851-1933
(240) 506-9003

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C07063
MD

Other

Enumeration date
11/14/2018
Last updated
11/14/2018
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