Individual
MS. LAMIYA CHYANNE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WALLACE AVENUE, BROOKLYN PARK, MD 21225
(443) 484-5939
Mailing address
111 WALLACE AVE, BROOKLYN PARK, MD 21225-3624
(443) 484-5939
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MD
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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