Individual
MRS. MARY JO IACOVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 EAST ORDNANCE ROAD, GLEN BURNIE, MD 21060
(410) 222-4935
(410) 222-6182
Mailing address
600 EAST ORDNANCE ROAD, GLEN BURNIE, MD 21060
(410) 222-4935
(410) 222-6182
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R135783
MD
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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