Individual
TAMIKA LA CHER PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 MARY BETH BLVD, CLINTON, MD 20735-9625
(301) 996-2656
Mailing address
4615 MARY BETH BLVD, CLINTON, MD 20735-9625
(301) 996-2656
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
111719
MD
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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