FACHECIA LAVERNE FORT

BALTIMORE, MD
NPI1952602963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MD  R193529)
Enumeration Date2010-11-08
Last Update Date2021-04-16
Business Address
-- FACHECIA LAVERNE FORT N.P.
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218-2108
Phone number: 410-605-7000
Mailing Address
-- FACHECIA LAVERNE FORT N.P.
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218-2108
Phone number: 410-605-7000
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