NPI 1295509867

Sophia Lasie Gough

Practitioner Nursing Home Administrator Baltimore, MD

Practice location

Address: 1259 Limit Ave, Baltimore, MD 21239-1748
Phone: (443) 510-8226

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1295509867
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2023
Record last updated: 14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.