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Organization
67 ON TRADD LLC
Active
Organization
67 ON TRADD LLC
Active
Other names
Wound Partner
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA GUERARD CRNP (OWNER)
(251) 213-3066
Entity
Organization
Contact information
Practice address
12 RIDGECLIFF CT, KINGSVILLE, MD 21087-1253
(251) 213-3066
Mailing address
12 RIDGECLIFF CT, KINGSVILLE, MD 21087-1253
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
04/14/2025
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