Doctor Name: | MS. JEAN SAUDA |
NPI Number: | 1053539296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | R136603 |
Business Practice Address: | 122 Hoyle Ln Severna Park, MD - 211464718 |
Business Phone Number: | 4102226565 |
Business Fax Number: | 4103849584 |
Mailing Address: | 1718 Sturbridge Pl, CROFTON |
State: | MD |
Postal Code: | 211142010 |
Phone Number: | 4104510664 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R136603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |