Individual
OWEDA D GERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
(443) 836-5573
(410) 644-5609
Mailing address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
(443) 836-5573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP18446
MD
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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