Individual
RAJI GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2710 N RIDGE RD, ELLICOTT CITY, MD 21043-3389
(443) 636-1144
Mailing address
2710 N RIDGE RD, ELLICOTT CITY, MD 21043-3389
(443) 636-1144
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R176963
MD
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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