Individual
MR. LEONID SHAYAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3502 EASTERN AVE, BALTIMORE, MD 21224-4123
(410) 825-8977
Mailing address
3502 EASTERN AVE, BALTIMORE, MD 21224-4123
(410) 825-8977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
30061797
MD
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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