Individual
LESLIE N AWASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4940 EASTERN AVE, DEPARTMENT OF ANESTHESIOLOGY, BALTIMORE, MD 21224-2735
(410) 550-7584
Mailing address
2130 COLONEL WAY, ODENTON, MD 21113-1092
(301) 655-4708
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R189245
MD
Other
Enumeration date
01/29/2015
Last updated
04/10/2024
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