Individual
DONNA JEAN MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6401 YORK RD, BALTIMORE, MD 21212-2152
(410) 887-2754
Mailing address
6401 YORK RD, BALTIMORE, MD 21212-2152
(410) 887-2754
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R077000
MD
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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