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Individual

THERESA CANARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3 E LEE ST, BALTIMORE, MD 21202-6000
(443) 682-6621
Mailing address
3 E LEE ST, BALTIMORE, MD 21202-6000
(443) 682-6621

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R176219
MD

Other

Enumeration date
04/01/2011
Last updated
04/01/2011
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