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Individual

MRS. FULGENTIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-PMH

Contact information

Practice address
12800 LEDO CREEK TER, BELTSVILLE, MD 20705-5106
(240) 583-9349
Mailing address
12800 LEDO CREEK TER, BELTSVILLE, MD 20705-5106
(301) 502-6460
(608) 305-8787

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220646
MD

Other

Enumeration date
01/16/2023
Last updated
01/16/2023
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