Individual
MARYJO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
234 HARBOR DR, LUSBY, MD 20657-2714
(410) 474-2032
(240) 718-1709
Mailing address
234 HARBOR DR, LUSBY, MD 20657-2714
(410) 474-2032
(240) 718-1709
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
R076273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R076273
NURSING LICENSE
MD
Enumeration date
04/27/2020
Last updated
04/27/2020
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