VI LY

BALTIMORE, MD
NPI1346810793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002110)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MD  R242988)
Enumeration Date2021-06-28
Last Update Date2023-09-06
Business Address
VI LY DNP, CRNA
525 N WOLFE ST
BALTIMORE, MD 21205-2110
Phone number: 410-955-4766
Mailing Address
VI LY DNP, CRNA
4983 GRAND AVE
MONTCLAIR, CA 91763-6433
Phone number: 909-630-8038