Individual
BARBARA ANN WEAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE MANAGER
Contact information
Practice address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
(443) 873-0579
(410) 644-5609
Mailing address
4318 SHELDON AVE, TEMPLE HILLS, MD 20748-1836
(443) 873-0579
(410) 644-5609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP22824
MD
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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