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Individual

JEANNINE M HALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
1425 PORTER ST, FREDERICK, MD 21702-9211
(301) 619-4652
Mailing address
220 MOSER CIR, THURMONT, MD 21788-1902
(301) 619-4652

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
R104082
MD

Other

Enumeration date
11/01/2006
Last updated
08/24/2007
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