Sophia Lasie Gough
Sophia Lasie Gough is a Nursing Home Administrator in Baltimore, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1259 Limit AveBaltimore, MD 21239-1748
Phone: (443) 510-8226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Home Administrator (primary) | Taxonomy 376G00000X |
|---|
Record details
| NPI number | 1295509867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2023 |
| Last updated in NPPES | November 14, 2023 |
| Certification date | November 14, 2023 |