Individual
MRS. LEELA MARIAM THOUNDAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 BOSLEY AVE, TOWSON, MD 21204-4011
(410) 512-3200
Mailing address
720 BOSLEY AVE, TOWSON, MD 21204-4011
(410) 512-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002224
MD
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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