Individual
IAN BIBLANIAS MORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4706 STELLABROOKE LN, ROSEDALE, MD 21237-3744
(443) 625-9790
Mailing address
4706 STELLABROOKE LN, ROSEDALE, MD 21237-3744
(443) 625-9790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R163797
MD
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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