Individual
ROSE EGWOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3703 HAMOR CT, RANDALLSTOWN, MD 21133-3718
(443) 467-7516
Mailing address
3703 HAMOR CT, RANDALLSTOWN, MD 21133-3718
(443) 467-7516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP39837
MD
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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