person
Mr. Immanuel Van Slyke Joseph, RN
General Practice Registered Nurse in Laurel, Maryland
NPI 1932975638

Immanuel Van Slyke Joseph is a General Practice Registered Nurse based in Laurel, MD and is specialized in General Practice. Immanuel Van Slyke Joseph practices in Laurel, MD and has the professional credentials of RN. The NPI Number for Immanuel Van Slyke Joseph is 1932975638 and holds a License No. R180947 (Maryland).

The current practice location address for Immanuel Van Slyke Joseph is 8811 Sumner Grove Dr, Laurel, MD and can be reached out via phone at 240-355-3266.

Location: 8811 Sumner Grove Dr, Laurel, MD, 20708-3533
person
Provider Profile Details
NPI Number
1932975638
Provider Name
Immanuel Van Slyke Joseph
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
8811 Sumner Grove Dr, Laurel, MD, 20708-3533
Phone Number
240-355-3266
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8811 Sumner Grove Dr
City
State
Zip
20708-3533
Phone Number
240-355-3266
Fax Number
person
Provider Business Mailing Address Details
Address
8811 Sumner Grove Dr
City
State
Zip
20708-3533
Phone Number
240-355-3266
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
R180947 (Maryland)
Definition
Definition to come...
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