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Individual

MR. LAMONT JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3733 OAK AVE, BALTIMORE, MD 21207-6338
(443) 721-0877
Mailing address
3733 OAK AVE, BALTIMORE, MD 21207-6338
(443) 721-0877

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
RSA-01599
MD

Other

Enumeration date
04/10/2023
Last updated
04/12/2023
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