Individual
SUSAN WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8304 BANISTER RD, SEVERN, MD 21144-2822
(443) 453-6115
(844) 965-9440
Mailing address
8304 BANISTER RD, SEVERN, MD 21144-2822
(443) 453-6115
(844) 965-9440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R080325
MD
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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