Individual
MARY GRACE LANZANAS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
Mailing address
1019 PRESIDENT ST, ANNAPOLIS, MD 21403-2150
(267) 836-4073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R250506
MD
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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