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Individual

DIANA SANTANA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
929 N WOLFE ST UNIT 701A, BALTIMORE, MD 21205-1174
(980) 223-9228
Mailing address
929 N WOLFE ST UNIT 701A, BALTIMORE, MD 21205-1174
(980) 223-9228

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
330677
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330677
RN LICENSE
NC
Enumeration date
05/06/2021
Last updated
05/06/2021
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