Individual
MRS. CAROL L WAMBOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5051 GREENSPRING AVE, SUITE 300, BALTIMORE, MD 21209-4354
(410) 601-1900
(410) 601-1901
Mailing address
5051 GREENSPRING AVE, 300, BALTIMORE, MD 21209-4354
(410) 601-1900
(410) 601-1901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R156968
MD
Other
Enumeration date
06/29/2006
Last updated
05/10/2013
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