Individual
MRS. MISTIE LEA COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 E CECIL AVE, NORTH EAST, MD 21901-4007
(410) 812-3167
Mailing address
107 E CECIL AVE, NORTH EAST, MD 21901-4007
(410) 812-3167
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R161178
MD
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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