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Individual

MS. JOCELYN DATUD GLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4940 EASTERN AVE, BUILLDING A, ROOM 588, BALTIMORE, MD 21224-2735
(410) 550-0942
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R184280
MD

Other

Enumeration date
06/30/2017
Last updated
07/07/2020
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