Individual
LATRICE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(301) 758-8593
Mailing address
8004 RIVER GATE LN, BOWIE, MD 20715-3363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R165142
MD
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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