Individual
LAURETTA IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ARMORY PL, BALTIMORE, MD 21201-4603
(410) 225-8615
Mailing address
300 ARMORY PL, BALTIMORE, MD 21201-4603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R158557
MD
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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