SHIRLEY JANE SAMPLE

LUTHERVILLE, MD
NPI1417019936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: MD  R080367)
Enumeration Date2006-12-14
Last Update Date2014-08-20
Business Address
MS. SHIRLEY JANE SAMPLE C.R.N.P.
1300 BELLONA AVE STE B
LUTHERVILLE, MD 21093-5466
Phone number: 844-606-5105
Mailing Address
MS. SHIRLEY JANE SAMPLE C.R.N.P.
11525 HANNIBAL RD
GLEN ARM, MD 21057-9207
Phone number: 443-807-1737
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