Individual
KHADEJA QUBLA IBN BAIDOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4843 MARSDEN PL, FREDERICK, MD 21703-6822
(571) 275-6765
Mailing address
4843 MARSDEN PL, FREDERICK, MD 21703-6822
(571) 275-6765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R214238
MD
363LF0000X
Family Nurse Practitioner
Primary
R214238
MD
Other
Enumeration date
10/08/2019
Last updated
06/12/2020
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