Individual
KARINAGRACE ANDAYA SHOULDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1838 GREENE TREE RD STE 260, PIKESVILLE, MD 21208-7108
(410) 486-2000
Mailing address
8310 CARRBRIDGE CIR, TOWSON, MD 21204-1812
(360) 348-2999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5238810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34278428
HEALTH INSURANCE
MD
Enumeration date
11/17/2020
Last updated
11/17/2020
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