Individual
JENNIFER RYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6100 DOBBIN RD, COLUMBIA, MD 21045-5804
(443) 492-4000
Mailing address
8310 GUILFORD RD, COLUMBIA, MD 21046-1279
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R209439
MD
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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