Individual
MRS. JACQUELINE KOSAR HEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 MELROSE AVE, GLEN BURNIE, MD 21061-2050
(410) 222-6409
Mailing address
2003 GOOSENECK RD, PASADENA, MD 21122-5710
(410) 437-2814
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
157745
MD
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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