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Individual

KEITH LAMONT PARHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HAIR LOSS SPECIALIST

Contact information

Practice address
2053 E MONUMENT ST STE 1, BALTIMORE, MD 21205-2206
(443) 780-5559
Mailing address
5413 KNELL AVE, BALTIMORE, MD 21206-4335
(443) 780-5559

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
107768
MD

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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