Individual
MS. ROBERTA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6401 YORK RD, BALTIMORE, MD 21212-2152
(410) 887-2725
Mailing address
3329 MIDLAND CT, ABINGDON, MD 21009-2505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R120902
MD
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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