CLINT MBAGUE KIDICK

HYATTSVILLE, MD
NPI1659618254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: DC  15130)
Enumeration Date2013-01-16
Last Update Date2013-01-16
Business Address
-- CLINT MBAGUE KIDICK
6475 NEW HAMPSHIRE AVE STE 504F
HYATTSVILLE, MD 20783-3277
Phone number: 301-560-1352
Mailing Address
-- CLINT MBAGUE KIDICK
6475 NEW HAMPSHIRE AVE STE 504F
HYATTSVILLE, MD 20783-3277
Phone number: 301-560-1352
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