Individual
SVETLANA IVANOVNA GAPEYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11122 DEWEY RD, KENSINGTON, MD 20895-1314
(301) 933-8408
(301) 933-8408
Mailing address
11122 DEWEY RD, KENSINGTON, MD 20895-1314
(301) 933-8408
(301) 933-8408
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
000438300
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000438300
PROVIDER NUMBER
MD
Enumeration date
05/09/2008
Last updated
05/09/2008
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