Individual
LASONYA WYNETTE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 DEMETRIAS WAY, GERMANTOWN, MD 20874-1082
(240) 246-6427
Mailing address
13609 DEMETRIAS WAY, GERMANTOWN, MD 20874-1082
(240) 246-6427
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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