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Organization

67 ON TRADD LLC

Active
Other names
Wound Partner
Organization subpart
No

Provider details

NPI number
Authorized official
IRINA GUERARD CRNP (OWNER)
(251) 213-3066
Entity
Organization

Contact information

Practice address
12 RIDGECLIFF CT, KINGSVILLE, MD 21087-1253
(251) 213-3066
Mailing address
12 RIDGECLIFF CT, KINGSVILLE, MD 21087-1253

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
05/06/2021
Last updated
04/14/2025
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