Individual
DIANE ROVNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-4507
Mailing address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R126175
MD
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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