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Individual

KIM MODICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
Mailing address
13 SHARPE RD, ANNAPOLIS, MD 21409-6235
(719) 332-4852

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R227631
MD

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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