Individual
MS. KENDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
550 NORTH CRAIN HWY, SUITE 8&9, GLENBURNIE, MD 21061
(443) 517-6552
(410) 946-1752
Mailing address
550 NORTH CRAIN HWY, SUITE 8&9, GLENBURNIE, MD 21061
(443) 517-6552
(410) 946-1752
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP55167
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP55167
STATE LIC
MD
Enumeration date
09/08/2021
Last updated
09/08/2021
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