VIVIAN BERTINE BLUE

BALTIMORE, MD
NPI1538817648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  Lp45532)
Enumeration Date2022-03-17
Last Update Date2022-03-17
Business Address
Miss VIVIAN BERTINE BLUE Lpn
3455 WILKENS AVE STE LL20
BALTIMORE, MD 21229-5203
Phone number: 443-836-5573
Mailing Address
Miss VIVIAN BERTINE BLUE Lpn
3455 WILKENS AVE STE LL20
BALTIMORE, MD 21229-5203
Phone number: 443-836-5573