Individual
KIMBERLY TEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4475 REGENCY PL, WHITE PLAINS, MD 20695-3072
(301) 744-8144
Mailing address
4475 REGENCY PL, WHITE PLAINS, MD 20695-3072
(301) 744-8144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R194883
MD
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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