Individual
MRS. COLLEEN MARIE PROROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, IBCLC
Contact information
Practice address
2000 CARTER MILL WAY, BROOKEVILLE, MD 20833-2243
(301) 774-7279
(301) 774-7279
Mailing address
2000 CARTER MILL WAY, BROOKEVILLE, MD 20833-2243
(301) 774-7279
(301) 774-7279
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R052436
MD
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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