Individual
GUSTAV ACHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 COLLEGE STATION DR, UPPER MARLBORO, MD 20774-1233
(763) 291-7145
Mailing address
120 COLLEGE STATION DR, UPPER MARLBORO, MD 20774-1233
(763) 291-7145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1007763
DC
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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