Individual
JUDITH PATRICIA GOEDEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC LAC
Contact information
Practice address
10544 PATUXENT RIDGE WAY, LAUREL, MD 20723
(301) 776-3158
Mailing address
10544 PATUXENT RIDGE WAY, LAUREL, MD 20723
(301) 776-3158
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00813
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL93JP
MD BCBS
—
Enumeration date
03/19/2007
Last updated
07/08/2007
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