Individual
MISS HARRIET FORJUOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVENUE, BALTIMORE, MD 21224
(410) 550-7584
Mailing address
15 NEWARK BAY CT, BAYONNE, NJ 07002-1904
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR13069300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
R189052
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031154500
—
MD
Enumeration date
12/29/2009
Last updated
06/15/2010
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