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Individual

FIKIRTA FORRESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6130 BALTIMORE AVE, RIVERDALE PARK, MD 20737
(301) 699-5004
Mailing address
30 G IRONSTONE CT, ANNAPOLIS, MD 21403
(410) 268-6697

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R165746
MD

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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