Individual
TONYA TENNELLE BRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5853 YORK RD, BALTIMORE, MD 21212-3613
(410) 365-5918
Mailing address
7829 TILGHMAN ST, FULTON, MD 20759-2580
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
CRANIAL PROSTHETICS
—
Enumeration date
06/11/2019
Last updated
06/11/2019
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