SearchMaryland363AS0400X

Antonietta Vaillancourt, PA

NPI 1811403033 · on the registry since 2017

Practice

Address
9561 White Pillar Ter
Gaithersburg, MD 20882
Phone
(301) 641-8354
Fax
(301) 641-8354

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AM0700X
Licence states on file
MD, HI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-20

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