Individual
RUBY GODBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 JOHNNYCAKE RD STE 103, WINDSOR MILL, MD 21244-2419
(410) 304-3232
(410) 630-3853
Mailing address
7001 JOHNNYCAKE RD STE 103, WINDSOR MILL, MD 21244-2419
(410) 304-3232
(410) 630-3853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R109843
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
R109843
MD
Other
Enumeration date
04/20/2016
Last updated
04/26/2022
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