Individual
MS. DIANE ROBERTA GENTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT CERTIFIED NURS
Contact information
Practice address
4110 TAYLOR AVE, BALTIMORE, MD 21236-4608
(410) 665-0063
Mailing address
4110 TAYLOR AVE, BALTIMORE, MD 21236-4608
(410) 665-0063
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO3229
MD
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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