Individual
MARY POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
314 GROVE NECK RD, EARLEVILLE, MD 21919-3008
(410) 275-6229
Mailing address
493 POND NECK RD, EARLEVILLE, MD 21919-2407
(435) 533-1154
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R207503
MD
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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