Individual
BRENDAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
(414) 305-0988
Mailing address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R263852
MD
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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