Individual
DELISA LYNN CLUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
15618 CHADSEY LN, BRANDYWINE, MD 20613-6249
(805) 698-7429
Mailing address
15618 CHADSEY LN, BRANDYWINE, MD 20613-6249
(805) 698-7429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R179159
MD
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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