Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | D91405 | MD |
NPI | 1306130398 |
---|---|
Provider Name | Youssra Marjoua |
First Address | Portland, ME 04106-3266 |
Second Address | Lutherville, MD 21093-5363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 26/01/2022 |