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Individual

ELIZABETH WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
617 STEMMERS RUN RD STE F, BALTIMORE, MD 21221-3361
(410) 780-3640
Mailing address
5 RANDY FROST CT, BALTIMORE, MD 21220-3713

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R107924
MD

Other

Enumeration date
11/30/2006
Last updated
07/08/2007
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