Individual
WANDA KAY TAYLOR-DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 EASTERN AVE, BALTIMORE, MD 21224-4225
(410) 290-1054
Mailing address
2 WALDEN MAPLE CT, GWYNN OAK, MD 21207-3963
(443) 904-7305
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R097733
MD
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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