| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Serena Nolan | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: D25010 | [sources] | |||
| First name | Serena | [sources] | |||
| Last name | Nolan | [sources] | |||
| NPI | 1336211739 | [sources] | |||
| Sector | MD | [sources] | |||
| Address | 8831 Satyr Hill Rd, Suite 100, Baltimore, MD 21234 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
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