Individual
MAME MAGUETTE GODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 W 7TH ST STE 28, FREDERICK, MD 21702-4100
(301) 228-3600
Mailing address
3301 VELVET VALLEY DR, WEST FRIENDSHIP, MD 21794-9430
(443) 823-3409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R189487
MD
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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