Individual
NELDRED MARY BRACAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 HAMMERSHIRE RD, OWINGS MILLS, MD 21117-1715
(410) 486-2454
Mailing address
610 HAMMERSHIRE RD, OWINGS MILLS, MD 21117-1715
(410) 486-2454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R175219
MD
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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