Individual
KRISTINA I BOUSHEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7625 MAPLE LAWN BLVD, STE 1 LOWER LOBBY, FULTON, MD 20759-2565
(410) 531-7557
(410) 531-0818
Mailing address
7625 MAPLE LAWN BLVD, STE 1 LOWER LOBBY, FULTON, MD 20759-2565
(410) 531-7557
(410) 531-0818
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R133237
MD
Other
Enumeration date
12/14/2005
Last updated
07/06/2011
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