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Individual

MARY BACHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3917
(410) 535-5400
(410) 414-9413
Mailing address
PO BOX 980, PRINCE FREDERICK, MD 20678-0980
(410) 535-5400
(410) 414-9413

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R126189
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420968100
MD
Enumeration date
11/26/2013
Last updated
11/26/2013
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