Individual
LOIC T NOUBOSSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 CRAIN HWY, UPPER MARLBORO, MD 20772-4102
(301) 952-7539
Mailing address
5700 CRAIN HWY, UPPER MARLBORO, MD 20772-4102
(301) 952-7539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27759
MD
Other
Enumeration date
01/04/2021
Last updated
01/13/2021
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