Individual
KEYANI GEVON DEDMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
50 IRVING ST NW, PHARMACY SERVICE 119, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
1814 METZEROTT RD APT 24, HYATTSVILLE, MD 20783-5157
(214) 563-2452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18925
MD
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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