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Ms. Maryjoan H Modderman, OTR
Specialist in Upper Marlboro, Maryland
NPI 1912124298

Maryjoan H Modderman is a Specialist based in Hyattsville, MD. Maryjoan H Modderman practices in Upper Marlboro, MD and has the professional credentials of OTR. The NPI Number for Maryjoan H Modderman is 1912124298 and holds a License No. 01236 (Maryland).

The current practice location address for Maryjoan H Modderman is 14201 School Ln, Upper Marlboro, MD and can be reached out via phone at 301-567-8494.

Location: 14201 School Ln, Upper Marlboro, MD, 20781-1804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912124298
Provider Name
Maryjoan H Modderman
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
14201 School Ln, Upper Marlboro, MD, 20781-1804
Phone Number
301-567-8494
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14201 School Ln
City
Upper Marlboro
State
Maryland
Zip
20772-2866
Phone Number
301-567-8494
Fax Number
person
Provider Business Mailing Address Details
Address
14201 School Ln
City
Upper Marlboro
State
Maryland
Zip
20772-2866
Phone Number
301-567-8494
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01236 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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