Individual
JERYK TIMOTHY DUGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 955-7548
Mailing address
6272 NARROW ISTHMUS AVE, LAS VEGAS, NV 89139-6410
(702) 349-3987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95180677
CA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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