Individual
MAUREEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S PACA ST, BALTIMORE, MD 21201-1642
(410) 328-0909
Mailing address
3501 DAIRY VALLEY TRL, ELLICOTT CITY, MD 21042-3746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R151826
MD
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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