Individual
REGINE MADELEINE GUEFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8909 WALTHAM WOODS RD APT A, PARKVILLE, MD 21234-2444
(443) 564-9345
Mailing address
8909 WALTHAM WOODS RD APT A, PARKVILLE, MD 21234-2444
(443) 564-9345
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R204809
MD
363LA2200X
Adult Health Nurse Practitioner
R204809
MD
363LG0600X
Gerontology Nurse Practitioner
R204809
MD
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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