Individual
MRS. CAROL JEAN DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
23000 MOAKLEY ST, SUITE 203, LEONARDTOWN, MD 20650-2915
(301) 475-8599
(301) 475-1514
Mailing address
PO BOX 1536, 6600 HAWKINS GATE ROAD, LA PLATA, MD 20646-1536
(301) 392-9722
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R063454
MD
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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