Individual
EDWARD LASHAWN HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 AMMUNITION AVE, ODENTON, MD 21113
(240) 421-4208
Mailing address
207 AMMUNITION AVE, ODENTON, MD 21113-2661
(240) 421-4208
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
105382
MD
Other
Enumeration date
05/29/2018
Last updated
07/16/2018
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