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Individual

DANELLE GASSAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3702 SYLVAN DR, BALTIMORE, MD 21207-6322
(443) 540-8396
Mailing address
3702 SYLVAN DR, BALTIMORE, MD 21207-6322

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R199128
MD

Other

Enumeration date
12/15/2020
Last updated
12/15/2020
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