Individual
MS. CAROL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WADE AVE, CATONSVILLE, MD 21228-4663
(410) 402-6847
Mailing address
8479 GREENBELT RD APT T2, GREENBELT, MD 20770-2539
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP20955
MD
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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