Modesta Vesonder Crnp LLC
NPI #1124982798 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1124982798
- Entity Type
- Organization
- Organization Name
- Modesta Vesonder Crnp LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 9, 2025
- Last Updated
- Dec 9, 2025
Practice Location
- Address
- 7301 E FURNACE BRANCH RD
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21060-7059
- Phone
- (443) 548-1708
Authorized Official
- Name
- MODESTA VESONDER, CRNP
- Title
- CEO
- Phone
- (301) 875-1670
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