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Individual

LAKEISHA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1618 N BROADWAY, BALTIMORE, MD 21213-2315
(770) 990-0095
Mailing address
6 CEDAR TREE CT APT G, COCKEYSVILLE, MD 21030-4256
(770) 990-0095

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP53051
MD
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
261QM0850X
Adult Mental Health Clinic/Center
310400000X
Assisted Living Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
385H00000X
Respite Care

Other

Enumeration date
03/20/2019
Last updated
03/20/2019
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