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Dinkum Prospect Llc
Primary Care Nurse Practitioner in Glenn Dale, Maryland
NPI 1740059476

Dinkum Prospect Llc is a Primary Care Nurse Practitioner based in Glenn Dale, MD and is specialized in Primary Care. Dinkum Prospect Llc practices in Glenn Dale, MD. The NPI Number for Dinkum Prospect Llc is 1740059476 and holds a License No. (Maryland).

The current practice location address for Dinkum Prospect Llc is 11112 Prospect Hill Rd, Glenn Dale, MD and can be reached out via phone at 240-432-7017.

Location: 11112 Prospect Hill Rd, Glenn Dale, MD, 20769-9454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740059476
Provider Name
Dinkum Prospect Llc
Credential
Provider Entity Type
Organization
Address
11112 Prospect Hill Rd, Glenn Dale, MD, 20769-9454
Phone Number
240-432-7017
Fax Number
Provider Enumeration Date
12/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11112 Prospect Hill Rd
City
Glenn Dale
State
Maryland
Zip
20769-9454
Phone Number
240-432-7017
Fax Number
person
Provider Business Mailing Address Details
Address
11112 Prospect Hill Rd
City
Glenn Dale
State
Maryland
Zip
20769-9454
Phone Number
240-432-7017
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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