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Individual

FLORENCE W. RUGOIYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7232 GERMAN HILL RD, DUNDALK, MD 21222-1260
(410) 282-6310
(410) 282-0321
Mailing address
5 CLEMENTINE CT APT 3D, BALTIMORE, MD 21237-2273
(410) 866-2967

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3317
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R200255865944
DRIVER'S LICENSE
MD
Enumeration date
04/20/2009
Last updated
04/20/2009
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