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Individual

FABIOLA SAINT-SUME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN/ADMINISTRATOR

Contact information

Practice address
1514 DECEMBER DR APT 202, SILVER SPRING, MD 20904-3616
(202) 733-0813
Mailing address
1514 DECEMBER DR APT 202, SILVER SPRING, MD 20904-3616
(202) 733-0813

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP48464
MD
164W00000X
Licensed Practical Nurse
LPN1006733
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477900777
1477900777
MD
Enumeration date
05/17/2016
Last updated
03/21/2019
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