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Individual

MS. ARETHA A. HENNESSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED REGISTERED

Contact information

Practice address
200 E. 33RD STREET, SUITE 551, BALTIMORE, MD 21218
(410) 554-4511
(410) 554-6490
Mailing address
200 E. 33RD STREET, SUITE 551, BALTIMORE, MD 21218
(410) 554-4511
(410) 554-6490

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R138505
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R138505
MD

Other

Enumeration date
07/29/2006
Last updated
02/25/2016
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