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Individual

GILAH SPEEDONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5915 WESTERN PARK DR, BALTIMORE, MD 21209-3416
(443) 739-9728
Mailing address
5915 WESTERN PARK DR, BALTIMORE, MD 21209-3416
(443) 739-9728

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R182512
MD

Other

Enumeration date
10/27/2018
Last updated
10/27/2018
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