Individual
MRS. MARIE G. FERNELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8411 MAYMEADOW CT, BALTIMORE, MD 21244-2148
(410) 521-4333
Mailing address
8411 MAYMEADOW CT, BALTIMORE, MD 21244-2148
(410) 521-4333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
03AL0834
MD
310400000X
Assisted Living Facility
03AL0888
MD
310400000X
Assisted Living Facility
03AL0973
MD
310400000X
Assisted Living Facility
30AL2941
MD
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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