Individual
DOREEN BAGONZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN MPH CMSRN
Contact information
Practice address
8108 SANDY SPRING RD, LAUREL, MD 20707-3582
(301) 318-9833
Mailing address
8108 SANDY SPRING RD, LAUREL, MD 20707-3582
(301) 318-9833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R220972
MD
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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