Individual
DARLENE YVONNE DITTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
791 AQUAHART RD, SUITE 200, GLEN BURNIE, MD 21061-3961
(410) 222-6625
(410) 222-6679
Mailing address
791 AQUAHART RD, SUITE 200, GLEN BURNIE, MD 21061-3961
(410) 222-6625
(410) 222-6679
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP16084
MD
Other
Enumeration date
04/06/2007
Last updated
01/07/2014
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