Individual
MS. MARY ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 6TH ST SE, WASHINGTON, DC 20003-2705
(703) 402-3728
Mailing address
520 6TH ST SE, WASHINGTON, DC 20003-2705
(703) 402-3728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001112422
VA
163W00000X
Registered Nurse
Primary
1008097
DC
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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