Most Relevant Information
Provider Data
| NPI Number: | 1003677626 |
| Provider Name: | MARIETTA J WARD LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R169021 |
Most Important Dates
| Enumeration Date: | 01/22/2024 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
807 WALNUT ST
POCOMOKE CITY
MD
218511621
Practice Location Phone/Fax
| Phone: | 4439780425 |
| Fax: | 4434377573 |
Provider Mailing Location
1002 RORI CT
SALISBURY
MD
218012370
Provider Mailing Phone/Fax
| Phone: | 4439780425 |
| Fax: | 4434377573 |