Individual
MRS. CAROLYN DOROTHEA PHILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CDE
Contact information
Practice address
1221 MERCANTILE LN, DIABETES SERVICES, LARGO, MD 20774-5374
(301) 618-5533
(301) 618-5525
Mailing address
2101 E JEFFERSON ST, SUITE 4E, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R079434
MD
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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