Provider Demographics
NPI:1760013031
Name:GAGUI, PATRICIA DOMINIQUE (CPD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DOMINIQUE
Last Name:GAGUI
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 OWL AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25405-2401
Mailing Address - Country:US
Mailing Address - Phone:301-541-3189
Mailing Address - Fax:
Practice Address - Street 1:7901 E BARRETT RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4412
Practice Address - Country:US
Practice Address - Phone:240-723-6575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula