Individual
MARY ELLEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
122 LANGLEY RD N, SUITE B, GLEN BURNIE, MD 21060-6539
(410) 222-0100
Mailing address
122 LANGLEY RD N, SUITE B, GLEN BURNIE, MD 21060-6539
(410) 222-0100
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN129001
MD
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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