Individual
FAUSAT BAKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-3764
(240) 310-6263
(410) 946-2010
Mailing address
1612 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-3764
(240) 310-6263
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00168626
MD
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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