Individual
MRS. GUYLENE DESIR-GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
22 S GREENE ST, N5W40, BALTIMORE, MD 21201-1544
(410) 328-6749
(410) 328-6136
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R147669
MD
Other
Enumeration date
03/02/2007
Last updated
09/01/2009
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