Individual
MARIA ROSARIO AGUSTIN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, FNP-C
Contact information
Practice address
15485 PRINCE FREDERICK RD # 102, HUGHESVILLE, MD 20637-9998
(301) 814-8228
Mailing address
6279 BAYWOOD CT, HUGHESVILLE, MD 20637-2575
(301) 814-8228
(240) 254-2187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R163177
MD
Other
Enumeration date
11/03/2014
Last updated
10/04/2019
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