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MRS. AUDREY JEAN ALBA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2501 OAKINGTON ST, APG, MD 21005-5131
(410) 278-1746
Mailing address
203 THOMAS POINT WAY, PERRYVILLE, MD 21903-2573
(410) 642-2805

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP25786
MD

Other

Enumeration date
11/04/2005
Last updated
07/08/2007
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