Organization
CHARM CITY HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIAN FRACKELTON FNP (OWNER/NURSE PRACTITIONER)
(443) 226-5597
Entity
Organization
Contact information
Practice address
3118 ABELL AVE, BALTIMORE, MD 21218-3411
(443) 226-5597
Mailing address
3118 ABELL AVE, BALTIMORE, MD 21218-3411
(443) 226-5597
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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