Individual
KELLI GRUNSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(443) 927-2906
Mailing address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R229222
MD
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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