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Individual

MRS. KATELYN RIELEY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(202) 285-5487
(202) 403-3105
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(202) 285-5487
(202) 403-3105

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1024744
DC

Other

Enumeration date
02/22/2017
Last updated
02/22/2017
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