Individual
RYAN BERNARDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8111 HICKORY HOLLOW DR, GLEN BURNIE, MD 21060-8639
(571) 490-4250
Mailing address
8111 HICKORY HOLLOW DR, GLEN BURNIE, MD 21060-8639
(571) 490-4250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4580
MD
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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