Individual
MR. GARNETT LIVINGSTONE SAMUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
15109 JENNINGS LN, BOWIE, MD 20721-7208
(301) 221-9642
Mailing address
15109 JENNINGS LN, BOWIE, MD 20721-7208
(301) 221-9642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006165
DC
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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