Individual
MISS MARIANA AZEVEDO FRAGELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2411 CREST RD, BALTIMORE, MD 21209-4233
(570) 436-6151
Mailing address
2411 CREST RD, BALTIMORE, MD 21209-4233
(570) 436-6151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R171810
MD
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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