Individual
MR. MELINDA LEE KREISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3104 ROLLING GREEN DR, CHURCHVILLE, MD 21028-1314
(410) 879-5515
Mailing address
3104 ROLLING GREEN DR, CHURCHVILLE, MD 21028-1314
(410) 879-5515
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RO72950
MD
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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