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Leonard Mugo
Gerontology Nurse Practitioner in Baltimore, Maryland
NPI 1659815520

Leonard Mugo is a Gerontology Nurse Practitioner based in Columbia, MD and is specialized in Gerontology. Leonard Mugo practices in Baltimore, MD. The NPI Number for Leonard Mugo is 1659815520 and holds a License No. R181805 (Maryland).

The current practice location address for Leonard Mugo is 4611 Southwood Ave, Baltimore, MD and can be reached out via phone at 410-900-4619.

Location: 4611 Southwood Ave, Baltimore, MD, 21046-3421
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Provider Profile Details
NPI Number
1659815520
Provider Name
Leonard Mugo
Credential
Provider Entity Type
Individual
Gender
Male
Address
4611 Southwood Ave, Baltimore, MD, 21046-3421
Phone Number
410-900-4619
Fax Number
Provider Enumeration Date
12/13/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
4611 Southwood Ave
City
State
Zip
21206-2245
Phone Number
410-900-4619
Fax Number
person
Provider Business Mailing Address Details
Address
4611 Southwood Ave
City
State
Zip
21206-2245
Phone Number
410-900-4619
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R181805 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R181805 (Maryland)
Definition
Definition to come...
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