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Nursing Service Providers Registered Nurse General Practice

Provider NPI: 1124576095

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
8855 ANNAPOLIS RD SUITE 305 LANHAM, MD 20706-2924 US
Tel: 240-770-7774  Fax: 240-770-3161

Business Mailing Address:
8855 ANNAPOLIS RD SUITE 305 LANHAM, MD 20706-2924 US
Tel: 240-770-7774  Fax: 240-770-3161

NPI Information:
NPI: 1124576095
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WG0000XNursing Service Providers
Registered Nurse
General Practice

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WG0000X





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