Individual
KRISTEN BOBLOOCH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9503
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9503
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R194465
MD
Other
Enumeration date
04/03/2014
Last updated
10/10/2017
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