Individual
MARY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 BEEHLER AVE, BALTIMORE, MD 21215-5506
(443) 898-2450
Mailing address
3824 BEEHLER AVE, BALTIMORE, MD 21215-5506
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00020158
MD
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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