Individual
MRS. DIANE RENE RZEPKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
210 CENTRAL AVE E, EDGEWATER, MD 21037
(410) 956-5600
Mailing address
6459 LACROSSE LN NE, GLEN BURNIE, MD 21061-8823
(410) 766-1328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP21970
MD
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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