Gustav Achu Valid NPI
Individual provider · Licensed Practical Nurse · Upper Marlboro, MD
- NPI
- 1275935843
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- LPN1007763 (DC)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-09-25
- Last updated
- 2014-09-25
Practice location
120 College Station Dr
Upper Marlboro, MD 20774-1233
(763) 291-7145