Individual
JENNIFER LEE REDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N RIDGE RD, ELLICOTT CITY, MD 21043-3383
(410) 750-7431
Mailing address
PO BOX 717, FUNKSTOWN, MD 21734-0717
(301) 331-0938
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00063449
MD
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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