Individual
MRS. JEAN MARIE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7910AQUAHART RD., 3RD FLOOR, GLEN BURNIE, MD 21061
(410) 222-6838
(410) 222-6840
Mailing address
3430 BLANDFORD WAY, DAVIDSONVILLE, MD 21035
(410) 956-5564
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP21570
MD
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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