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Individual

AUDRA JUSTINE HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12234 WILLIAMS ROAD, CUMBERLAND, MD 21502
(301) 724-0132
(301) 759-5874
Mailing address
12234 WILLIAMS ROAD, CUMBERLAND, MD 21502
(301) 724-0132
(301) 759-5874

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R124238
MD

Other

Enumeration date
08/29/2006
Last updated
02/04/2010
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