Individual
JOSEPHINE EDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 SNOWDEN LOOP CT, LAUREL, MD 20708
(240) 355-4373
Mailing address
8401 SNOWDEN LOOP CT, LAUREL, MD 20708
(240) 355-4373
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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