Individual
AUGUSTINA O BOADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 FAIRHILL LN, INDIAN HEAD, MD 20640-1577
(303) 684-2767
Mailing address
32 FAIRHILL LN, INDIAN HEAD, MD 20640-1577
(303) 684-2767
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
B300074667863
MD
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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