Individual
MS. DAWNYELLE SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
421 THE FALLSWAY, BALTIMORE, MD 21202
(410) 962-1100
Mailing address
3503 OAKMONT AVE, APT. 1, BALTIMORE, MD 21215-5981
(443) 683-9369
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T12509
MD
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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