Individual
MRS. NATALIE JEAN GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3525 RESOURCE DR, RANDALLSTOWN, MD 21133-4733
(410) 887-0646
(410) 496-9398
Mailing address
859 MAYFAIR WAY, ELDERSBURG, MD 21784-6124
(410) 549-2116
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R104020
MD
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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