Individual
KATE BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8720 EMGE RD, BALTIMORE, MD 21234-3504
(410) 668-1961
Mailing address
24 LONA CT, BALTIMORE, MD 21236-1538
(410) 916-2139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0885L
MD
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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