Individual
THERESA MARIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6120
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R145843
MD
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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