Individual
CHALISS PULLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9418 ANNAPOLIS RD STE 104, LANHAM, MD 20706-3048
(410) 934-4493
Mailing address
1714 PERRY COVE RD, PASADENA, MD 21122-3741
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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