Individual
SHARAE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 PARKWOOD AVE, BALTIMORE, MD 21217-1923
(667) 210-0964
Mailing address
2800 PARKWOOD AVE, BALTIMORE, MD 21217-1923
(667) 210-0964
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R215177
MD
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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