DIANE MAE ROSE SY DY

BALTIMORE, MD
NPI1023407335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R175780)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: DE  104871)
Enumeration Date2015-01-12
Last Update Date2015-06-22
Business Address
-- DIANE MAE ROSE SY DY CRNA
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-6704
Mailing Address
-- DIANE MAE ROSE SY DY CRNA
PO BOX 64795
BALTIMORE, MD 21264-4795
Phone number: 410-328-6704
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