Individual
MARY LAYUNA DOEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 BUCKTOWN RD, CAMBRIDGE, MD 21613-3754
(443) 521-4967
Mailing address
4516 BUCKTOWN RD, CAMBRIDGE, MD 21613-3754
(443) 521-4967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01930
MD
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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