Individual
MRS. VATINA LYNN GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
212 BLUE BALL AVE, ELKTON, MD 21921-5222
(410) 287-2949
Mailing address
212 BLUE BALL AVE, ELKTON, MD 21921-5222
(410) 287-2949
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP24313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP24313
NURSING LICENSURE
MD
Enumeration date
04/23/2007
Last updated
07/08/2007
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