Individual
MARIA CECILIA LABOR CAMPOSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAGNOLIA DR, LA PLATA, MD 20646-9357
(301) 934-4001
Mailing address
3609 MATLOCK PL, WALDORF, MD 20602-1917
(540) 538-3618
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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