Individual
WILLIE HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 N CAROLINE ST, BALTIMORE, MD 21231-1003
(410) 614-2370
Mailing address
405 N CAROLINE ST, BALTIMORE, MD 21231-1003
(410) 614-2370
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R113071
MD
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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