person
Antonietta E Vaillancourt, PA
Medical Physician Assistant in Gaithersburg, Maryland
NPI 1811403033

Antonietta E Vaillancourt is a Medical Physician Assistant based in Gaithersburg, MD and is specialized in Medical. Antonietta E Vaillancourt practices in Gaithersburg, MD and has the professional credentials of PA. The NPI Number for Antonietta E Vaillancourt is 1811403033 and holds a License No. C06707 (Maryland).

The current practice location address for Antonietta E Vaillancourt is 9561 White Pillar Ter, Gaithersburg, MD and can be reached out via phone at 301-641-8354 and via fax at 301-641-8354.

Location: 9561 White Pillar Ter, Gaithersburg, MD, 20882-2808
person
Provider Profile Details
NPI Number
1811403033
Provider Name
Antonietta E Vaillancourt
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9561 White Pillar Ter, Gaithersburg, MD, 20882-2808
Phone Number
301-641-8354
Fax Number
301-641-8354
Provider Enumeration Date
12/26/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9561 White Pillar Ter
City
State
Zip
20882-2816
Phone Number
301-641-8354
Fax Number
301-641-8354
person
Provider Business Mailing Address Details
Address
9561 White Pillar Ter
City
State
Zip
20882-2816
Phone Number
301-641-8354
Fax Number
301-641-8354
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
AMD-789 (Hawaii)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C06707 (Maryland)
Definition
Definition to come...
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