Individual
MS. LAKEISHA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WENGATE RD, OWINGS MILLS, MD 21117-3322
(410) 205-5194
Mailing address
100 WENGATE RD, OWINGS MILLS, MD 21117-3322
(410) 205-5194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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