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Individual

MRS. SHENISE JAMES- DUBOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, DN

Contact information

Practice address
3310 EASTERN AVE, BALTIMORE, MD 21224-4108
(443) 708-5056
(667) 400-6118
Mailing address
5714 ALLENDER RD, WHITE MARSH, MD 21162-1307
(443) 813-1208

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R232062
MD
163WC0400X
Case Management Registered Nurse
R232062
MD
163WG0000X
General Practice Registered Nurse
Primary
R232062
MD

Other

Enumeration date
06/10/2024
Last updated
06/10/2024
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