Individual
MRS. PHYLLIS D VENDEMIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS OF NURSING
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7912
Mailing address
9225 OLD COURT RD, WINDSOR MILL, MD 21244-1023
(410) 605-7000
(410) 605-7912
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO56539
MD
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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