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Individual

MRS. KAY SOPHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNFP

Contact information

Practice address
344 UNIVERSITY BLVD W, SUITE 213, SILVER SPRING, MD 20901-1948
(301) 592-1784
(301) 592-1783
Mailing address
344 UNIVERSITY BLVD W, SUITE 213, SILVER SPRING, MD 20901-1948
(301) 592-1784
(301) 592-1783

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R091062
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58208
AMERIGROUP
MD
01
61948901
CFBCBS MD
MD
Enumeration date
06/30/2006
Last updated
07/08/2007
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