Individual
KAY EILEEN WIEAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(301) 677-8919
(301) 677-8491
Mailing address
12010 ROCKLEDGE DR, BOWIE, MD 20715-3256
(301) 464-1173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R079155
MD
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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