Individual
JINSON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 DULANEY VALLEY RD, TIMONIUM, MD 21093-2739
(410) 252-4500
Mailing address
40 HEARTHSTONE CT, ANNAPOLIS, MD 21403-5719
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R143794
MD
Other
Enumeration date
12/14/2005
Last updated
10/16/2008
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