Individual
MS. EVA LAUREN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 WILTONWOOD ROAD, STEVENSON, MD 21153-0681
(410) 486-7903
Mailing address
2010 WILTONWOOD RD, STEVENSON, MD 21153-0681
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
M622238488957
MD
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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