Individual
MARY SIDHWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/PSYD
Contact information
Practice address
5119 CRYSTAL PARK LN, ELLICOTT CITY, MD 21043-7947
(443) 794-1217
Mailing address
5119 CRYSTAL PARK LN, ELLICOTT CITY, MD 21043-7947
(443) 794-1217
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R095728
MD
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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