Individual
MARY JANE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23995 POINT LOOKOUT RD, LEONARDTOWN HIGH SCHOOL, LEONARDTOWN, MD 20650-4104
(301) 475-0200
(301) 475-0204
Mailing address
23995 POINT LOOKOUT RD, LEONARDTOWN HIGH SCHOOL, LEONARDTOWN, MD 20650-4104
(301) 475-0200
(301) 475-0204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R137211
MD
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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