DAISUKE MATSUO

FORT MEADE, MD
NPI1992290951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R191414)
Enumeration Date2018-06-22
Last Update Date2024-11-27
Business Address
Mr. DAISUKE MATSUO
2480 LLEWELLYN AVE
FORT MEADE, MD 20755-7081
Phone number: 301-677-8694
Mailing Address
Mr. DAISUKE MATSUO
USAMEDDAC 2480 LLEWELLYN AVE
FORT MEADE, MD 20755-4031
Phone number: 301-677-8694