Individual
VILAWAN SUANSAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13905 BLAIR STONE LN, SILVER SPRING, MD 20906-3115
(301) 275-7445
Mailing address
13905 BLAIR STONE LN, SILVER SPRING, MD 20906-3115
(301) 275-7445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R198619
MD
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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