Individual
MARK SUTTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3300 N RIDGE RD, SUITE 175, ELLICOTT CITY, MD 21043-3383
(410) 750-3474
Mailing address
7400 VILLAGE RD, APT. 3, SYKESVILLE, MD 21784-7400
(443) 536-9391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP43095
MD
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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