Individual
MRS. LAJUANA MCQUEEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10710 CHARTER DR, #200, COLUMBIA, MD 21044-3128
(410) 884-8000
(410) 997-6019
Mailing address
10710 CHARTER DR, #200, COLUMBIA, MD 21044-3128
(410) 884-8000
(410) 997-6019
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
R171824
MD
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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