Provider Information for 1003570698
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JULIANA SARKODEE
Sex: Female
NPI: 1003570698
Last Updated: 2021-10-28
Certification Date: 2021-10-28
Certification Date: 2021-10-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003570698 | ||||||||
| Enumeration Date | 2021-10-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1901 HARWOOD RD DISTRICT HEIGHTS, MD 20747-1855 United States Phone: 240-455-5004 | Fax: | ||||||||
| Primary Practice Address | 1901 HARWOOD RD DISTRICT HEIGHTS, MD 20747-1855 United States Phone: 240-455-5004 | Fax: | ||||||||
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