ALBERT LEGRAND SOMO DZATI

BOWIE, MD
NPI1134477664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R218461)
Enumeration Date2012-08-15
Last Update Date2021-11-10
Business Address
ALBERT LEGRAND SOMO DZATI
14304 DRIFTWOOD RD
BOWIE, MD 20721-3044
Phone number: 240-260-3951
Mailing Address
ALBERT LEGRAND SOMO DZATI
14304 DRIFTWOOD RD
BOWIE, MD 20721-3044
Phone number: 202-904-4216
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