Organization
QUALITY ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERNESTINE MARIE SCOVENS RN BSN (CEO)
(443) 325-2468
Entity
Organization
Contact information
Practice address
7952 HARFORD RD, SUITE C, PARKVILLE, MD 21234-5846
(443) 325-2468
Mailing address
7952 HARFORD RD, SUITE C, PARKVILLE, MD 21234-5846
(443) 325-2468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R210972
MD
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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