GHISLAINE LAISSA OUEDRAOGO

RICHMOND, VA
NPI1144335126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101239861)
Enumeration Date2006-08-20
Last Update Date2007-11-06
Business Address
-- GHISLAINE LAISSA OUEDRAOGO M. D.
12 N THOMPSON ST
RICHMOND, VA 23221-2718
Phone number: 804-359-9861
Mailing Address
-- GHISLAINE LAISSA OUEDRAOGO M. D.
PO BOX 758963
BALTIMORE, MD 21275-8963
Phone number: 804-822-4355