Raven A Morris

NPI 1114076783 - Physician Assistant - 363A00000X

NPI Details
NPI 1114076783
Gender Female
Enumeration Date 01/10/2007
Last Updated 10/30/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
10755 FALLS RD
SUITE 160
LUTHERVILLE MD, 21093-4515, US
Phone (410) 583-2777
Fax (410) 583-2782
Business Location
PO BOX 759047
BALTIMORE MD, 21275-9047, US
Phone (804) 968-5700
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0003145
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According to our database, Raven A Morris NPI is 1114076783, taxonomy code is 363A00000X and license number is C0003145, license state is located at Maryland. Raven A Morris physically located at 10755 Falls Rd, Lutherville MD, 21093-4515. NPI Number Raven A Morris has the Individual type.

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1114076783 NPI number is provided on an as is basis without warranty of any kind. 1114076783 is maintained by the National Plan & Provider Enumeration System. The contents of Raven A Morris are for informational purposes only.