Individual
MS. DENISE LENA BOVENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CCRC
Contact information
Practice address
1436 PORTER STREET, FORT DETRICK, MD 21702-5011
(301) 619-3335
(301) 619-4505
Mailing address
1436 PORTER STREET, FORT DETRICK, MD 21702-5011
(301) 619-3335
(301) 619-4505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R077693
MD
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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