Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | D0062607 | MD |
NPI | 1033145321 |
---|---|
Provider Name | Dr. Alida Mercedes Espinoza |
First Address | Clarksville, MD 21029-1747 |
Second Address | Hagerstown, MD 21740-5940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 08/07/2007 |