JERICHO DE MATA, D.O.
Marriage and Family Therapists at Mercantile Ln, Upper Marlboro, MD

License number
Maryland MD045539
Category
Osteopathic Medicine
Type
Family Medicine
License number
Maryland 0102205000
Category
Osteopathic Medicine
Type
Family Medicine
License number
Maryland H83783
Category
Osteopathic Medicine
Type
Family Medicine
Address
Address 2
1221 Mercantile Ln, Upper Marlboro, MD 20774
2101 E Jefferson St STE 6W, Rockville, MD 20852
Phone
(301) 618-5500
(301) 816-5853
National Provider ID: 1275950396
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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