Individual
MS. KELLY WOJCIECHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 APPLE VALLEY DR, PASADENA, MD 21122-4174
(410) 255-0102
Mailing address
10826A SUMMIT AVE, WOODSTOCK, MD 21163-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R215373
MD
Other
Enumeration date
01/09/2019
Last updated
11/22/2019
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