Individual
MRS. RICHELLE ANTOYNETTE GENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
JHOC OUTPATIENT, 601 NORTH CAROLINE , 6TH FLOOR, ROOM 6064, BALTIMORE, MD 21287
(410) 955-2195
(443) 287-4654
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R156867
MD
Other
Enumeration date
08/30/2017
Last updated
11/04/2017
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