Most Relevant Information
Provider Data
| NPI Number: | 1003343138 |
| Provider Name: | TRACY JACINDA BRANCH PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 007573 |
Most Important Dates
| Enumeration Date: | 05/19/2017 |
| Last Updated: | 05/19/2017 |
Provider Practice Location
8501 PLUM CREEK DR
GAITHERSBURG
MD
208824438
Practice Location Phone/Fax
| Phone: | 2402467510 |
| Fax: |
Provider Mailing Location
5600 FISHERS LN # 16N164C
ROCKVILLE
MD
208521750
Provider Mailing Phone/Fax
| Phone: | 3014430494 |
| Fax: |