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Individual

LUIS HUMBERTO FARRUGIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1425 PORTER ST, FORT DETRICK, MD 21702-9211
(301) 619-2236
Mailing address
6208 E HUFF BLVD, FREDERICK, MD 21702-8276
(301) 619-2236

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
203903
TX

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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