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Individual

JESSIE KOLODIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MS, CS-P

Contact information

Practice address
30 E PADONIA RD STE 208, TIMONIUM, MD 21093-2308
(410) 628-8899
Mailing address
30 E PADONIA RD STE 208, TIMONIUM, MD 21093-2308
(410) 628-8899

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R092780
MD

Other

Enumeration date
10/02/2006
Last updated
08/16/2019
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