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Individual

MIROSLAVA PAVELOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7678 QUARTERFIELD RD STE 201, GLEN BURNIE, MD 21061-7071
(410) 766-9413
Mailing address
12112 OTIS DR, ROCKVILLE, MD 20852-2218
(240) 899-0827

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R222459
MD

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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