Individual
MRS. LETICIA VEHEMENTE MARTINEZ NANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRNP
Contact information
Practice address
5510 NATHAN SHOCK DR, BALTIMORE, MD 21224-6823
(410) 550-0047
Mailing address
4915 WILLSHIRE AVE, BALTIMORE, MD 21206-4329
(410) 485-2910
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R052381
MD
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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