Individual
LAURA P MATHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2700 RIVA RD, ANNAPOLIS, MD 21401
(410) 266-5240
Mailing address
1129 ASQUITH DRIVE, ARNOLD, MD 21012
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R131118
MD
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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