Individual
JAN RYAN VILORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 326-6683
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R176726
MD
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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