Individual
DELORES IRVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(202) 680-6858
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(202) 680-6858
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R075746
MD
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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