Search › Maryland › 183500000X
Irene Nam
NPI 1639779614 · on the registry since 2020 · sole proprietor
Practice
- Address
- 610 N Frederick Ave
Gaithersburg, MD 20877 - Phone
- (240) 631-7716
- Organisation at this address
- Sams East Inc
Sam'S Club OpticalInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X - Licence states on file
- DC, CA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland