Individual
JOAN MALDONADO-RESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3995 OLD TOWN RD, HUNTINGTOWN, MD 20639-3039
(410) 536-3612
(410) 535-3613
Mailing address
PO BOX 1602, OWINGS MILLS, MD 21117-1663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R176154
MD
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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