Individual
AUGUSTINA O FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9909 GOOD LUCK RD, APT 201, LANHAM, MD 20706-3248
(301) 254-2574
Mailing address
9909 GOOD LUCK RD, APT 201, LANHAM, MD 20706-3248
(240) 602-5601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN7641
DC
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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