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Individual

LOU BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2280 WOODBERRY DR, BRYANS ROAD, MD 20616-4230
(240) 681-5957
Mailing address
2280 WOODBERRY DR, BRYANS ROAD, MD 20616-4230
(240) 681-5957

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
MD

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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