Individual
BRIANNE ELIZABETH LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C0007689
MD
Other
Enumeration date
09/24/2020
Last updated
01/28/2021
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