DIANA LEE NICOLAISEN

GLEN BURNIE, MD
NPI1972728558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: MD  ro85571)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Mrs. DIANA LEE NICOLAISEN rn
791 AQUAHART RD SUITE 200
GLEN BURNIE, MD 21061-3961
Phone number: 410-222-6625
Mailing Address
Mrs. DIANA LEE NICOLAISEN rn
791 AQUAHART RD SUITE 200
GLEN BURNIE, MD 21061-3961
Phone number: 410-222-6625