Individual
KIMBERLY RAE LAURINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 826-6396
Mailing address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R203998
MD
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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