Individual
SUSAN BOCHE-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
405 W DIAMOND AVE APT 101, GAITHERSBURG, MD 20877-2180
(301) 549-8438
Mailing address
405 W DIAMOND AVE APT 101, GAITHERSBURG, MD 20877-2180
(301) 549-8438
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP52929
MD
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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