Individual
MS. KATHY VIRGINIA MOUNCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
40 CARROLL RD, PASADENA, MD 21122-4204
(410) 647-7040
Mailing address
40 CARROLL RD, PASADENA, MD 21122-4204
(410) 647-7040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R131460
MD
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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