Individual
MRS. MAUREEN HELEN DIACZOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
791 AQUAHART RD, GLEN BURNIE, MD 21061-3961
(410) 222-6838
(410) 222-6840
Mailing address
122 SHERBURN RD, SEVERNA PARK, MD 21146-3045
(410) 647-5172
(410) 222-6840
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R068521
MD
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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