Individual
LIDWINE LAURE HENLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SHARON CT, LAUREL, MD 20707-4541
(240) 429-2667
Mailing address
100 SHARON CT, LAUREL, MD 20707
(240) 429-2667
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
H-540-522-488-055
MD
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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