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Individual

MRS. ANCY C PALAKUNNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
15245 SHADY GROVE RD, SUITE 130, NORTH LOBBY, ROCKVILLE, MD 20850-3222
(301) 527-1650
Mailing address
15245 SHADY GROVE RD, SUITE 130, NORTH LOBBY, ROCKVILLE, MD 20850-3222
(301) 527-1650

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R208316
MD

Other

Enumeration date
12/05/2016
Last updated
12/05/2016
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