Individual
KEEYANA RHONDA LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(443) 810-7719
Mailing address
4532 3RD AVE, ST AUGUSTINE, FL 32095-6048
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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