IndividualActive
Willibrord Bagiraneza
NPI 1306614136 · Technician/Technologist · Timonium, MD
Provider details
- NPI number
- 1306614136
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2118 Greenspring Dr
Timonium, MD 21093-3112
Phone: (410) 560-7514
Approximate (ZIP-level) locationGet directions
Mailing address
4309 Marigold Ln
Belcamp, MD 21017-1668
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.