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Marty Stout

NPI 1821592080 · on the registry since 2018 · sole proprietor

Practice

Address
2243 Oxon Hill Dr
Temple Hills, MD 20020
Phone
(202) 491-6819

Registry record

Primary taxonomy
1744P3200X
1744P3200X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-22

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