Individual
LAEASHA KELLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7905 MALCOLM RD STE 205, CLINTON, MD 20735-1749
(301) 355-0223
Mailing address
11414 TOWER HILL LN, MARDELA SPRINGS, MD 21837-2253
(443) 880-1557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R202674
MD
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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