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Individual
MRS. JENNIFER KYRITSIS BALDUCCI
Active
Individual
MRS. JENNIFER KYRITSIS BALDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20158
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147433401
ACS / US DEPT OF LABOR
MD
01
—
212821
JOHNS HOPKINS HEALTHCARE
MD
01
—
2228719
FIRST HEALTH NETWORK
MD
01
—
5536463
CCN NETWORK
MD
01
—
609998-08
CAREFIRST BCBS
MD
01
—
624873
NATIONAL CAPITAL PPO
MD
01
—
P00247935
RAILROAD MEDICARE
MD
01
—
T6710011
BCBS OF DC
MD
Enumeration date
08/03/2005
Last updated
06/01/2009
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