Individual
IFE SEMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 MOUNT HOLLY ST, BALTIMORE, MD 21216-2430
(443) 325-3715
Mailing address
2141 MOUNT HOLLY ST, BALTIMORE, MD 21216-2430
(443) 325-3715
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CERT. HAIR LOSS SPEC
GA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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