Individual
ELHADJ CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2816 ELISTON ST, BOWIE, MD 20716-3906
(301) 455-5009
Mailing address
2816 ELISTON ST, BOWIE, MD 20716-3906
(301) 455-5009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1002782
DC
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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