Provider Demographics
NPI:1700265923
Name:CORBETT, ANN GERMAINE (LAC, MAC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:GERMAINE
Last Name:CORBETT
Suffix:
Gender:F
Credentials:LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10410 KENSINGTON PKWY.
Mailing Address - Street 2:#107
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2950
Mailing Address - Country:US
Mailing Address - Phone:240-671-3564
Mailing Address - Fax:
Practice Address - Street 1:10410 KENSINGTON PKWY.
Practice Address - Street 2:# 107
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1627
Practice Address - Country:US
Practice Address - Phone:240-671-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist