Individual
MR. JEREMEY EDWARD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 HOLLEN RD, BALTIMORE, MD 21239-1715
(917) 257-8940
Mailing address
827 S CURLEY ST, BALTIMORE, MD 21224-3849
(917) 257-8940
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
30AL3907
MD
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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