Individual
THELMA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
953 W PULASKI HWY, ELKTON, MD 21921-4714
(443) 485-6544
Mailing address
953 W PULASKI HWY, ELKTON, MD 21921-4714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R079571
MD
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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