Individual
MS. BRONWYNE JENELL FRITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-5800
(301) 677-8641
(301) 677-8485
Mailing address
302 LORI DR, APT. F, GLEN BURNIE, MD 21061-4454
(301) 677-8641
(301) 677-8485
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00079099
MD
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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