Individual
MS. FELICIA C FAUNTLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4007 ROSECREST AVE, BALTIMORE, MD 21215-3428
(443) 506-6110
(410) 585-1549
Mailing address
4007 ROSECREST AVE, BALTIMORE, MD 21215-3428
(443) 506-6110
(410) 585-1549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R187622
MD
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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