Individual
PATRICIA J SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
12503 WILLOWBROOK RD, CUMBERLAND, MD 21502-2554
(301) 759-2580
(301) 777-5630
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5280
(301) 777-5630
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R043462
MD
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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