Individual
LATIA DANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6067 RED SQUIRREL PL, WALDORF, MD 20603-4443
(240) 346-5390
Mailing address
6067 RED SQUIRREL PL, WALDORF, MD 20603-4443
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
374J00000X
Doula
Primary
—
MD
Other
Enumeration date
03/09/2020
Last updated
02/22/2021
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