SearchMaryland103TC0700X

Jason Prenoveau, PH.D

NPI 1548799711 · on the registry since 2017 · sole proprietor

Practice

Address
4501 N Charles St
Baltimore, MD 21210
Phone
(410) 617-5240
Clinicians at this address
13

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland