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Individual

VICTORIA BAETEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2012 S TOLLGATE RD, SUITE 206, BEL AIR, MD 21015-1272
(443) 371-9750
Mailing address
1400 GARCIA CT UNIT A, ABERDEEN, MD 21001-1272
(262) 689-8070

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R223368
MD

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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