Individual
MS. LETHA MENON SUNIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Mailing address
15209 GRAVENSTEIN WAY, NORTH POTOMAC, MD 20878-4701
(301) 706-5092
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07365
MD
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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