Individual
MRS. DORA GWEN HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 COOPER RD, GLEN BURNIE, MD 21060-7785
(410) 424-3214
Mailing address
8390 OAK DR, PASADENA, MD 21122-4604
(410) 424-3214
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP30600
MD
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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