Individual
JOANIE CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4402 28TH PL, APT. 4, MOUNT RAINIER, MD 20712-1539
(301) 779-4033
Mailing address
4402 28TH PL, APT. 4, MOUNT RAINIER, MD 20712-1539
(301) 779-4033
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1007802
DC
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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