Individual
LAURE CECILE GOUDIABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 CRAIN HWY, WALDORF, MD 20603-4841
(301) 396-9215
Mailing address
22347 CANTERFIELD WAY, GERMANTOWN, MD 20876-4375
(301) 972-4117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194709
MD
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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