Individual
CARLA BES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 EASTERN AVE, BALTIMORE, MD 21224-2734
(410) 550-5018
Mailing address
4006 E WEST HWY, CHEVY CHASE, MD 20815-5915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006893
MD
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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