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Individual

DONNA RICHMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, RN, CPDN, AE-C

Contact information

Practice address
9318 SHADYCREEK WAY, BALTIMORE, MD 21234-3434
(443) 463-5524
Mailing address
9318 SHADYCREEK WAY, BALTIMORE, MD 21234-3434
(443) 463-5524

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R070055
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7070G0
CAGE
MD
Enumeration date
01/23/2017
Last updated
01/23/2017
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